Wiki Excision polyp inside ileostomy no scope

[acbarnes]

My physician excised five polyps and ablated 2 just inside an ileostomy. He excised them by going underneath the polyps in the submucosl plane, using lidocaine with epinephrine as anesthestic. He did not use a scope. How would you code this?

My guess would be either 44110-52 (five were excised in one excision, same spot). I looked at teh 4436? codes but could not really make anything fit. Has anybody else coded this?

Thanks,
Anna Barnes, CPC, CGSCS