Polypectomy w/dx of benign colonic mucosa

[EricaR]

Hello,

I am curious if anyone has any authoritative information on how you should code a colonoscopy with polypectomy that comes back from pathology as benign colonic mucosa.
Would love anything to support statements, but I'm interesed in different opinions also! Thanks!


Erica

 

[cbrookshire]

polypectomy w/dx of benign colonic mucosa

look for info from Dennis L. Padget Pathology Service Coding Handbook. Awesome information. He also is invovled with Pathology/Lab Coding Alert Newsletter. My last version is 8.4 (October 1, 2008). I have not updated since then. Last contact info i have is:
Dennis L. Padget
DLPadget Enterprises, Inc.
2347 Clearwater Run
The Villages, FL 32162
Phone: 502-693-5462
Email: EZPathCoding@bellsouth.net

Good Luck

 

[coachlang3]

So it's was a polyp that was removed that turns out to be benign, correct?

211.3

 

[sheardmd]

I don't have any authoritative info, but I use my dr's judgement. If he called it a polyp (sometimes the whole specimen doesn't get collected) then I code as a benign polyp. If he wasn't sure what it was, then I code to any symptoms that the pt had. If the scope was done for screening purposes and dr wasn't sure that it was a polyp then I code for the colonoscopy with no biopsy.

 

[magnolia1]

If the physician did a biopsy with the Colonoscopy, I would code the biopsy.

As for diagnosis, you can only work with what you have. If need be, send supporting
documentation to insurance carrier.

 

[EricaR]

Thank you all for this assistance, we follow along the same guidelines as Melissa states above, if the Dr. called it a polyp and it comes back from path as benign mucosa we are using 211.3. Just wanted to see what other folks thought about this situation. I have had some say they would go back to the indications in these situations. Thanks again!