colonoscopy

BABS37

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Ok, I have a question regarding the rules of screening colonoscopies for the Pathologist side- If a patient comes in for a routine screening and a polyp is found- then the polyp is sent to the pathologist- what rules does he need to follow for the colonoscopy? Some articles I have found say it is a diagnostic with 211.3 only. Another article said it has to be coded with V76.51 to keep it listed as a screening and then 211.3 as secondary.

I'm at a loss as to what to tell my pathologist. He is sending me 88305 with V76.51 and that's it, even though he's got cecal polyp he's checking out.

Any advice???
 

mitchellde

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You code the screening first and the polyp second.. The slide was sent to you as a screening, the finding of the polyp is incidental, therefore it is coded second.
 

BABS37

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Thank you Debra! I'll let the path know he needs to document the secondary code along with the screening code :)
 
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