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coding polyps with only documentation of cm

M

mommacode

Networker
Messages
35
Is it ok to code the specific site of colon polyps and the polypectomy procedure to the specified site of ascending, transverse, sigmoid etc if the physician only documented the location using centimeters?
 
Diagnosis code-wise maybe - if you knew where that particular measurement landed within that patient's colon. I don't know that you would though.

Procedure code-wise, no. The distance of the scope has nothing to do with the technique used to remove a polyp.
 
I should have been more specific. When coding in pcs you are required to know the specific colon site. So if all you have documented is centimeters would it be ok to use a diagram to establish the specific site based on centimeters?
 
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