jobofthehunt
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I recently coded a pathology report for a colonoscopy specimen (CPT 88305-26, DX Z12.11) which was denied payment by BCBS.
Pre-operative dx is: Screening for malignant neoplasm of colon.
In the report Gross description states:Specimen labeled, "colon polyp at 54cm." The specimen consist of tiny flecks of white material less than 1 mm. Collected in a tissue sack. All submitted.
Microscopic Description; Sample is crushed hemorrhagic colonic glands and stroma. There is no specific histological abnormality.
Final Pathological Diagnosis Large intestine, 54 cm, biopsy: No diagnostic alteration.
I've been asked by management to change the dx to D12.4 (Benign neoplasm of descending colon) and rebill the claim.
I don't feel the diagnosis D12.4 is supported by the dictation in the report and am looking for some outside opinions.
Any input is welcome, thank you.
Pre-operative dx is: Screening for malignant neoplasm of colon.
In the report Gross description states:Specimen labeled, "colon polyp at 54cm." The specimen consist of tiny flecks of white material less than 1 mm. Collected in a tissue sack. All submitted.
Microscopic Description; Sample is crushed hemorrhagic colonic glands and stroma. There is no specific histological abnormality.
Final Pathological Diagnosis Large intestine, 54 cm, biopsy: No diagnostic alteration.
I've been asked by management to change the dx to D12.4 (Benign neoplasm of descending colon) and rebill the claim.
I don't feel the diagnosis D12.4 is supported by the dictation in the report and am looking for some outside opinions.
Any input is welcome, thank you.
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