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I'm looking for advice on what to do about the following problem:
The Dr. performs a Colonoscopy, finds 2 polyps, Hepatic Flexure, Snares them, sends to Pathology. Finds 3 tiny polyps in the rectum and destroys them.
Path report comes back with report on the specimens: 2 HF polyps ("tubular adenomas (2)"), AND "Rectal polyp: Hyperplastic Polyp."
I polled the Dr. again and he was emphatic that he destroyed all 3 tiny rectal polyps. I went to pathology and they faxed the requisition, showing 2 containers, the first w/ the HF specimens and the second container labeled w/ Pt's name and "Rectum," which they rechecked to confirm the label.
Not sure what to do next coding-wise. It does not affect ICD-9 coding, but does affect the Px code(s) attached to the CPT code 45385 for the snare.
And do I pursue the discrepancies to resolve the problem generated by the 2 seemingly contradictory reports?
The Dr. performs a Colonoscopy, finds 2 polyps, Hepatic Flexure, Snares them, sends to Pathology. Finds 3 tiny polyps in the rectum and destroys them.
Path report comes back with report on the specimens: 2 HF polyps ("tubular adenomas (2)"), AND "Rectal polyp: Hyperplastic Polyp."
I polled the Dr. again and he was emphatic that he destroyed all 3 tiny rectal polyps. I went to pathology and they faxed the requisition, showing 2 containers, the first w/ the HF specimens and the second container labeled w/ Pt's name and "Rectum," which they rechecked to confirm the label.
Not sure what to do next coding-wise. It does not affect ICD-9 coding, but does affect the Px code(s) attached to the CPT code 45385 for the snare.
And do I pursue the discrepancies to resolve the problem generated by the 2 seemingly contradictory reports?