cbrookshire
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i've been coding pathology for a bit now and i'm preparing for my cpc next friday.
here is example before i ask my question:
Clinical Note: A. 30 cm polyp
B. 60 cm polyp, trap #1
Source: Colon
Operative Diagnoisis: Personal history of colonic polyps
Polyp
Pathology Diagnosis: A. Hyperplastic polyp; no evidence of adenomatous change.
B. Hyperplastic polyp; no evidence of adenomatous change.
I coded these both with 211.3. I was told/taught to code the diagnosis. So thats what I've been doing. Claims have been paid. No problem.
Received a call from insurance company (one of several lately) telling me the codes are incorrect and could I change.
So my question is - after going back and looking through my books and not finding what I need -
#1 - is this incorrect?
#2 - if incorrect, should I only use the V code?
#3 - if incorrect, should I use the V code as primary and the 211.3 as secondary?
Also, should I be using V code if ANY specimen is submitted for a routine cancer screen?
I'd really like to get this straightened out for myself before my exam next week.
Thank you in advance.
Cathy B.
Manton, MI
Be groovy!
here is example before i ask my question:
Clinical Note: A. 30 cm polyp
B. 60 cm polyp, trap #1
Source: Colon
Operative Diagnoisis: Personal history of colonic polyps
Polyp
Pathology Diagnosis: A. Hyperplastic polyp; no evidence of adenomatous change.
B. Hyperplastic polyp; no evidence of adenomatous change.
I coded these both with 211.3. I was told/taught to code the diagnosis. So thats what I've been doing. Claims have been paid. No problem.
Received a call from insurance company (one of several lately) telling me the codes are incorrect and could I change.
So my question is - after going back and looking through my books and not finding what I need -
#1 - is this incorrect?
#2 - if incorrect, should I only use the V code?
#3 - if incorrect, should I use the V code as primary and the 211.3 as secondary?
Also, should I be using V code if ANY specimen is submitted for a routine cancer screen?
I'd really like to get this straightened out for myself before my exam next week.
Thank you in advance.
Cathy B.
Manton, MI
Be groovy!