Question Completed screening colonoscopy with polypectomy but still with poor prep

mlaplante

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Hello GI coders, this question may have been answered but I can't seem to locate the answer and I keep finding conflicting information. Please help with this scenario if you can. Patient is having a screening colonoscopy (or surveillance) due to high risk colo ca and personal history of polyps, scope goes to the cecum and several polyps are removed via snare, and one removed via forceps at a different location. However, prep is poor with suboptimal visualization and the provider wants to repeat in 6 months with a 2 day prep. This does not get a 53 correct? Rather, coded as Z12.11, Z86.0100, D12.3, D12.0, D12.5 and 45385-33 and 45380-XU, 33. And, how would you code the follow-up colonoscopy, dx and CPT if more polyps are removed?? Thank you so much for any help with this.
 
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