Wiki Hyperplastic Colon Polyps

[JanRebecca]

Are Hyperplastic Colon Polyps considered 'true' polyps? As in once you've had them you have a PH of Colon Polyps? and it is now a surveillance and not screening procedure?

 

[GI CODER]

Gi coder

Per the 2016 CPT Coding Updates, http://gi.org/wp-content/uploads/2016/03/2695-007COM_16-1-CPT-Coding-Updates_v3.pdf

"Hyperplastic polyps do not meet the definition of high risk as these are not adenomatous polyps. Patients
who only have hyperplastic polyps are considered to be average risk if there are no other high-risk factors"

 

[Tine]

hyperplastic polyps

When the biopsy comes back hyperplastic, I do not use the D12.X codes, I use a generic K63.5. They are not truly polyps in the pre-cancerous sense, but they still removed them so we need to use the appropriate modifier (33 or PT), with the correct code for removal. Our providers still have the patient come back in 5 years to do another screening if they are hyperplastic or pseudopolyps, but if they are adenomas then they come back in 1-3 years, depending on size and a few other factors I cannot remember off the top of my head. Hope this helps also.