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Thread: J pouch Polypectomy

  1. #1
    Join Date
    Apr 2007
    Dayton, Ohio

    Default J pouch Polypectomy

    AAPC: Back to School
    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.

  2. #2

    Default 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.
    Kimm Hall CPC, CMSCS, CGCS

    If you live to regret then you have not learned lifes lessons.

  3. #3


    I would say 44386 which is Endoscopic evaluation of small intestinal pouch w/ biopsy.

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