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Colonoscopy -doing a routine colon

  1. Default Colonoscopy -doing a routine colon
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    We are doing a routine colon on a patient because they have metastatic neuro endocrine tumor and we are trying to r/o primary gi tract. How would you dx code this?

  2. #2
    Ellenville, New York
    Code the secondary neoplasm first, then use 199.1 for the primary, since that is the unknown.

  3. #3
    Quote Originally Posted by MnTwins29 View Post
    Code the secondary neoplasm first, then use 199.1 for the primary, since that is the unknown.
    Wouldn't you use a V-code first since it is being ruled out and not as of yet confirmed?

  4. #4
    Do not use 199.1 for the unknown primary.
    With a neuroendocrine tumor use 209.20. The met will also be a code from the 209.7* category.
    As for the V code... it would depend on if it was ordered/documented as a screening or a diagnostic colonoscopy.

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