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Wiki Screening Colonoscopy Coding

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Donna SanGiovanni

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East Haven, CT
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I have worked at an ASC for 7 years. At a round table the other evening, a hospital coder said that if a patient is booked for a screening colonoscopy, and a polyp is found- code V76.51, followed by 211.3..... I was always taught that in this instance the procedure becomes surgical and to code the polyp (usually we use 239.0) without the screening V code....

Can anyone comment, help, or provide me with a place that I can find it clearly stated....

Thanks !
Donna
 
HI,

I am doing for ASA, there is also I have same instruciton when screening and polyp are seen both should be coded.

I am very curious to know logic behind this.
 
HI,

I am doing for ASA, there is also I have same instruciton when screening and polyp are seen both should be coded.

I am very curious to know logic behind this.
 
Hi Donna! Coding Clinic 1st Q 2004 states that you would code the screening V-code first and then list the findings as secondary codes. If the patient was booked for a screening colonoscopy, that is the reason for the encounter. We code the V76.51 then 211.3 or whatever is found during the procedure.
 
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