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Wiki Outpatient Coding

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amylis1

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Hello,

I am a coder for outpatient services. I come across the following often and need
some advice how to code:

" Fecal material seen in colon". Would this be constipation? Fecal impaction??

Thanks!:o
 
You should not code fecal impaction or constipation if it is not documented. Is this found as a part of a colonoscopy? Are there complications due to " Fecal material seen in colon"? Are you concerned because the colonoscopy was discontinued due to " Fecal material seen in colon"?
 
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