AAPC - Back to school
Results 1 to 4 of 4

Thread: cecal vs colorectal which dx

  1. #1
    Join Date
    Apr 2007
    Kalamazoo MI

    Default cecal vs colorectal which dx

    AAPC: Back to School
    I'm in the need of some coding help. I have a scenerio where a pt comes in and the dictated note states pt was found to have a villous adenoma in the cecum. Then a year later pt had underwent a right hemicholectomy, which revealed the presence of a moderatley differentiated adenocarcinoma arising in a tubulovillous adenoma. I coded this out a 154.3 and 197.8. Now pt is presenting to us denials from her insurance because we didn't use the code 154.0. Should I have used the 154.0 or was I correct in coding the way I did.

    Any help would be very helpful.

  2. #2


    it seems to me that if the portion of the colon removed in the right hemicolectomy was at the end of the sigmoid colon and sigmoid flexure then the 154.0 code would be more accurate because the descriptor for that code is rectosigmoid junctiion. However, if this is not what was removed then the 154.3 would be correct.

  3. #3
    Join Date
    Apr 2007
    Kalamazoo MI


    sjohns827 I did check the orginal op report and the tumor site was noted to be cecum and on the path report it stated tumor site cecum when she had her hemicolectomy

  4. #4


    Then I would say you were correct to begin with.

Similar Threads

  1. Help code Cecal Wedge please
    By nvsa3815 in forum Gastroenterology
    Replies: 3
    Last Post: 10-28-2014, 02:18 PM
  2. Please help with cecal wedge resection
    By nvsa3815 in forum General Surgery
    Replies: 1
    Last Post: 10-23-2014, 01:56 PM
  3. Bleeding Cecal Mass
    By hcg in forum Diagnosis Coding
    Replies: 0
    Last Post: 07-19-2013, 08:02 AM
  4. Cecal perforation
    By taly in forum Gastroenterology
    Replies: 2
    Last Post: 11-14-2012, 12:40 PM
  5. Cecal pexy ??
    By GIBBERS in forum General Surgery
    Replies: 0
    Last Post: 07-30-2009, 04:25 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.