Results 1 to 3 of 3

J pouch Polypectomy

  1. #1
    Default J pouch Polypectomy
    Medical Coding Books
    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.

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

Similar Threads

  1. J-Pouch Ileorectal Anastomosis
    By jlb0807 in forum General Surgery
    Replies: 0
    Last Post: 07-24-2013, 03:02 PM
  2. Bladder Pouch Scope
    By collam2 in forum Urology
    Replies: 1
    Last Post: 07-19-2013, 09:10 AM
  3. Blind Pouch
    By coderguy1939 in forum Gastroenterology
    Replies: 3
    Last Post: 06-04-2013, 04:01 PM
  4. coloanal J pouch
    By rosanne in forum Gastroenterology
    Replies: 1
    Last Post: 12-10-2010, 02:36 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.