Wiki How do you code a hyperplastic polyp in the sigmoid colon ?

[jfrederes]

I have always coded it K63.5, but if I'm understanding the March article on polyps correctly, I should be coding it D12.5

 

[trish4560@snet.net]

I would code it as K63.5. But double check the documentation in the report. If MD states the polyp is sessile, then you could use the D12.5

 

[jfrederes]

I have always coded it K63.5, but if I'm understanding the March article on polyps correctly, I should be coding it D12.5

Trish, thank you very much for the response, the K63.5 is how I have always coded it. The AAPC E-Magazine, March edition, article on 4 steps to colon polyp coding is telling me differently, unless I'm understanding the article wrong. If you get the chance give it a read and let me know what you think. I appreciate your input.

Jerry

 

[NIENAJADLY]

Jerry, I understand why you read it that way. The author is providing that information as the pathology is already known and it's been determined it's definitely hyperplastic (which the physician can't determine by looking at it, needs path). If the path comes back that it is hyperplastic, then the D codes would be used by location. In the absence of the pathology (some providers/practices don't require a coder to wait for the pathology) then K63.5 would be appropriate since they don't know whether it's malignant, adenomatous or hyperplastic. Also, be careful of just "sessile" in the op report. Sessile serrated polyps are considered adenomatous but "sessile" by itself just means it's flat and doesn't have a stalk like a pedunculated polyp. Serrated is the type of polyp. Check out Coding Clinic for ICD-10 article from Q2 2018, p14 on sessile serrated polyp. Hope this helps!