I have had this happen several times where the physican reports a colonoscopy with polyp removal but the pathology report states fecal material. I was at a seminar serveral years ago.. and they directed to code as the colonoscopy w/polyp removal and diagnosis as 211.3.. I have never really felt comfortable with that.. and have not been able to find anything written stating that. Does anyone have any information on this?? Do you code to what physician states he is removing colonocopy w/poly remove with 211.3.. or do you revert back and code it as a screening colonoscopy?