History of Colonic polyps

Ksumansky

Guest
Messages
52
Best answers
0
Patient coming in for colonoscopy with a history of colonic polyps. Not sure when the last colonoscopy was performed. polyps found in the ascending and sigmoid colon and both was biopsied. how would you code this.

45380 v76.51, 211.3, v12.72
or
45380 211.3, v12.72
or
45380 211.3

???????

Thank you for your time!
 

Ksumansky

Guest
Messages
52
Best answers
0
oh sorry, the doctor's H&P stated screening/hx of polyps.
OR Report stated screening, but no mention of hx of polyps
 

mkj2486

Guru
Messages
127
Best answers
0
I was taught that if a patient has a history of polyps any future colonoscopy it is not considered a screening any more. The patient has a problem that needs surveillance. The screening is the initial procedure checking for any problems that may result in cancer. Unchecked polyps may result in cancer, therefore the patient is not having a screening any more, they are being checked for additional problems due to the history of polyps.
 
Top