AAPC - Back to school
Results 1 to 2 of 2

Thread: Please help with this case study....

  1. #1

    Default Please help with this case study....

    AAPC: Back to School
    Patient comes in for colonoscopy for diarrhea and right lower quadrant abdominal pain. The transverse colon showed aphthous ulcerations. Multiples biopsies were taken of the ulcerated area to rule out Crohn’s disease. A 2 cm sessile polyp was removed from the descending colon via snare technique. The sigmoid colon revealed minimal scattered diverticulosis. Path report revealed a benign villoglandular polyp and active chronic colitis of the transverse colon, Crohn’s disease ruled out.

    I would really appreciate some assistance on this....

  2. #2
    Join Date
    Apr 2007
    Denver CO

    Default Help with Case Study

    I'd code a 45385 for the snare polyp removal, using 211.3 as the diagnosis. Your second CPT would be 45380 with modifier 59 for the multiple biopsies taken of the transverse colon with diagnosis 556.0 first and 562.10 as a second diagnosis. Hope this helps!

Similar Threads

  1. case study
    By SherryR in forum Diagnosis Coding
    Replies: 2
    Last Post: 03-11-2011, 07:41 AM
  2. Need assistance on a CPT case study
    By sjschneider in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 02-23-2011, 12:23 PM
  3. Ancillary Services during Case Study
    By molivier in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 07-01-2010, 06:23 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.