One of my doctors performed a complicated polyp removal during a colonoscopy.
My understanding is that I can code for one removal technique and the saline lift for the flat polyp.
I planned to code this as 45385 with 211.3 and 45381-59 dx. 211.3 aqnd line 19 saline lift prox. transverse polyp. Is this the correct coding sequence?
The OR reports reads as follows:
“In the proximal transverse colon, we found a very flat polyp; it was occupying the surface of a fold actually on 2 sides. It was approximately 2 cm. We used multiple techniques to try and remove this. I used a mucosectomy technique, raising it up with saline and then using a snare and a piecemeal fashion along with hot biopsies and finally argon ablation to completely ablate down this area. There was no excessive heme afterwards. The remainder of the colon was negative for colon polyps. I did inject spot carbon ink at the site of polypectomy in case it needs to be identified again….”
Thanks for any advice you can provide.
My understanding is that I can code for one removal technique and the saline lift for the flat polyp.
I planned to code this as 45385 with 211.3 and 45381-59 dx. 211.3 aqnd line 19 saline lift prox. transverse polyp. Is this the correct coding sequence?
The OR reports reads as follows:
“In the proximal transverse colon, we found a very flat polyp; it was occupying the surface of a fold actually on 2 sides. It was approximately 2 cm. We used multiple techniques to try and remove this. I used a mucosectomy technique, raising it up with saline and then using a snare and a piecemeal fashion along with hot biopsies and finally argon ablation to completely ablate down this area. There was no excessive heme afterwards. The remainder of the colon was negative for colon polyps. I did inject spot carbon ink at the site of polypectomy in case it needs to be identified again….”
Thanks for any advice you can provide.