katiejeanne
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Hey guys,
We have a younger patient (BCBS insurance) who has presented to our facility for multiple EGD procedures in the past. They have found gastric polyps each time. Now he presents again and had an EGD done then also a colonoscopy.
On the surgical order it states the diagnoses are "history of gastric polyps" then "screening colonoscopy". However, on the operative report his preoperative DX is "history of gastric polyps" then "need for colonoscopy based on history of gastric polyps, given the possibility of polyposis syndrome". So can I still use "screening" for the colonoscopy since he is not having any symptoms related to this? It sounds like the patient is at high risk for developing polyps so they are wanting to make sure there aren't any in the colon.
They did find gastric polyps again and performed snare polypectomies during the EGD but the colonoscopy was normal. Any ideas on how this should be coded?? Thanks in advance!
Katie, RHIT
We have a younger patient (BCBS insurance) who has presented to our facility for multiple EGD procedures in the past. They have found gastric polyps each time. Now he presents again and had an EGD done then also a colonoscopy.
On the surgical order it states the diagnoses are "history of gastric polyps" then "screening colonoscopy". However, on the operative report his preoperative DX is "history of gastric polyps" then "need for colonoscopy based on history of gastric polyps, given the possibility of polyposis syndrome". So can I still use "screening" for the colonoscopy since he is not having any symptoms related to this? It sounds like the patient is at high risk for developing polyps so they are wanting to make sure there aren't any in the colon.
They did find gastric polyps again and performed snare polypectomies during the EGD but the colonoscopy was normal. Any ideas on how this should be coded?? Thanks in advance!
Katie, RHIT