Go Back   AAPC Medical Coding & Billing Forums > Medical Coding > Outpatient Facilities
Forum Rules FAQ Members List Calendar Search Today's Posts Mark Forums Read

Reply
 
Thread Tools
  #1  
Old 02-21-2011, 11:06 AM
codedog codedog is offline
True Blue
 
Join Date: Apr 2007
Location: NEW ORLEANS
Posts: 890
codedog is on a distinguished road
Default rectal polyp

I have look over and over for the cpt code for excision of a retal polyp , closest code I come up with is 46922, not sure if this is right . As it says operative report he used a scalpel to use this, DOC office says to use 45990 which is a anorectal exam with cpt code 46611 by snare technique, which I disagree with their code .Any suggestions? thanks

OSTOPERATIVE DIAGNOSIS: Rectal polyp.
OPERATION: Excision of rectal polyp.

ANESTHESIA: General.
COMPLICATIONS: None.
BLOOD LOSS: None.
PROCEDURE IN DETAIL:
The patient was taken to the OR and prepped and draped in the usual sterile fashion in lithotomy. Once this was done, rectal exam revealed a polyp on the anterior rectal wall. The polyp was well visualized. Using the Harmonic scalpel, it was removed in its entirety, across its well defined pedunculated stalk. This left a small defect. The defect was closed with two 3-0 Vicryl interrupted sutures. There was excellent hemostasis in the area. All needle and sponge counts were correct. Specimen was sent to Pathology for permanent section.
Reply With Quote
  #2  
Old 02-21-2011, 01:12 PM
ASC CODER ASC CODER is offline
True Blue
 
Join Date: Apr 2007
Posts: 570
ASC CODER is on a distinguished road
Default

45108?

desk reference:

The physician removes a muscle tumor or a section of muscle from the anorectum The physician identifies the anorectal muscle tumor or area of interest. A transanal incision is made through the rectal wall and the tumor or identified are of muscle is excised. The incision is closed by approximating the muscle edges and closing the incision in the rectal lining.

If that is not what the doc did then I would use unlisted.

hope this helps
__________________
LG CPC,CASCC
Reply With Quote
  #3  
Old 02-21-2011, 02:25 PM
codedog codedog is offline
True Blue
 
Join Date: Apr 2007
Location: NEW ORLEANS
Posts: 890
codedog is on a distinguished road
Default

thanks asc code but I'm not sure if poylp isconsidered a tumor ?
Reply With Quote
  #4  
Old 02-21-2011, 02:26 PM
codedog codedog is offline
True Blue
 
Join Date: Apr 2007
Location: NEW ORLEANS
Posts: 890
codedog is on a distinguished road
Default

thanks asc code but I'm not sure if poylp is considered a tumor ?
Reply With Quote
  #5  
Old 02-22-2011, 06:15 AM
ASC CODER ASC CODER is offline
True Blue
 
Join Date: Apr 2007
Posts: 570
ASC CODER is on a distinguished road
Default

There is 45108 AnoRECTAL myomectomy myomatous POLYP = a POLYP that consists of benign neoplastic tissue derived from nonstriated (smooth) muscle. SYNONYM - fleshy POLYP If that does not then probably unlisted

The term TUMOR and POLYP vs lesion vs mass are at times used as the same 45171Excision of rectal TUMOR, transanal approach

Excision of rectal tumor, transanal approach; not including muscularis propria (ie, partial thickness) etc...

anyway,

Here are some ideas
__________________
LG CPC,CASCC
Reply With Quote
  #6  
Old 04-07-2014, 10:27 AM
bmanene bmanene is offline
Networker
 
Join Date: Apr 2007
Posts: 36
bmanene is on a distinguished road
Default APV Coder

If the procedure is excision code 45171. If edoscopically; polyp,tumor or lesion removed, code 45308.
Reply With Quote
Reply

Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off




Disclaimer: Although AAPC staff members will monitor these forums periodically, we cannot be responsible for the information posted herein, nor guarantee its accuracy. Our members may discuss various subjects related to medical coding, but none of the information should replace the independent judgment of a physician for any given health issue. Please note that the opinions expressed here do not necessarily reflect those of AAPC.

All times are GMT -6. The time now is 08:03 AM.

AAPC - Top

Powered by vBulletin® Version 3.8.1
Copyright ©2000 - 2014, Jelsoft Enterprises Ltd.
Copyright ©2014, AAPC