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Wiki J pouch Polypectomy

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slwitt

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I have a Coding situation I have never had before. A patient with a previous total colectomy returned and physician inserted a gastroscope rectally advanced it about 15 cm to the end of the J-pouch. When it was Retroflexed a small polyp was biopsied at the anastomotic line. Does anyone have suggestions of what type of procedure code to use for this?

I appreciate any guidance on this issue.
 
J Pouch polypectomy

Given that the physcian only advanced 15 cm I would use a 45305-proctosigmoidoscopy with biopsy.If the polyp is adenomatous then the dx code would be 211.4.
Hope this helps.
 
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