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Removal of Polyps-Colonoscopy

  1. #1
    Default Removal of Polyps-Colonoscopy
    Medical Coding Books
    If the Op note states that a polyp was removed via hot biopsy forceps during a colonoscopy, and the Path report Dx states: "Colonic Mucosa with Focal Hyperplastic changes", and no other payable dx are dictated what Dx would be used?

  2. #2
    I would use the 211.3 for the colon polyp.

  3. Default
    I would use 211.3, also.

  4. Talking
    I Would Use 211.3 Also

  5. #5
    I would also use 211.3 (or possibly 211.4 depending on where the polyp was located).

    If Medicare is the primary payer, you might want to check out their MedLearn matters page. They have coding instructions and clarifications that are very helpful, especially pertaining to screening vs diagnostic colonoscopy.

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