tammyross
Networker
Working for a physician who does not dictate/indicate whether colon polyps are hyperplastic or adenomatous when the patient is seen for a screening colonoscopy. Understanding that the patients don't really know if they were precancerous or not, how do you handle this situation? If the patient has a history of adenomatous polyps, the ICD 10 code Z86.010 is used and Z87.19 if the polyps are hyperplastic. We are finding this to be extremely challenging due to the 2 year or 10 year frequency on high/low patients. I can't find information on how this should be handled. I would very much appreciate any feedback/suggestions on the best way to handle this. Thank you in advance!!