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Thread: Another Colonscopy Question

  1. #1

    Default Another Colonscopy Question

    AAPC: Back to School
    I know this is probably a dumb question but here it goes anyway...
    If a Doctor performs a colonoscopy with a pre-op diagnosis of rectal pain,
    then records a post op diagnosis of hemorrhoids, can you still use the rectal pain as a secondary diagnosis ???
    Thanks in advance for any responses.

  2. #2
    Join Date
    Apr 2007


    Yes, but If it medicare I would go with the rectal pain dx as primary.

  3. #3
    Join Date
    Apr 2007
    Columbus GA

    Smile 2* code

    This is what I have always gone by straight out of the guidelines:
    "Codes that describe symptoms and signs are acceptable for reporting purposes when a related definitive diagnosis has not been established (confirmed) bu the prpovider." Use a secondary code if you need one according to the tabular notes. I see no need for that one used as a secondary.

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