AAPC - Back to school
Results 1 to 5 of 5

Thread: Diagnosis for chronic colitis with ulcer fragments

  1. #1
    Join Date
    Apr 2007
    Johnson City

    Default Diagnosis for chronic colitis with ulcer fragments

    AAPC: Back to School
    If you were coding a colonoscopy and got a path that read -
    Active chronic colitis,moderate-severe,with prominent ulcer bed fragments.
    Negative for dysplasia or malignancy.

    What diagnosis would be appropriate? I was thinking since ulcer fragments was found an ulcer had to present, would ulcerative colitis 556.9 be appropriate or would you just code the chronic colitis, 558.9? Differences of opinions in our office.

  2. #2


    I personally would code active chronic colitis-- because the path report is clear about that.
    If the path report said chronic ulcerative colitis then i would bill with that, but it doesn't appear to come right out and say that.

    Hope it helps,

    Caprice, CPC

  3. #3


    Hello if it was me I would code use the chronic colitis code 558.9. I'm a recent student who just finished medical billing and coding will be taking my coding exam next month
    Last edited by trinavanslyke@yahoo.com; 05-14-2010 at 07:20 AM.

  4. #4
    Join Date
    Apr 2007
    Temple, TX


    I've coded and billed GI for almost 3 years and I would bill 558.9 as my primary diagnosis as the path report does not specifically state that the colitis is ulcerative.

  5. #5


    I work for a group of pathologist, and I would code this as active colitis 558.9 based on the path report alone.

Similar Threads

  1. Replies: 1
    Last Post: 11-02-2015, 12:37 PM
  2. Bone Biopsy of chronic ulcer
    By AR2728 in forum Orthopaedics
    Replies: 0
    Last Post: 10-11-2013, 09:15 AM
  3. hx of ulcerative colitis w/findings of colitis
    By momo2 in forum Gastroenterology
    Replies: 1
    Last Post: 04-11-2013, 06:14 AM
  4. Need Help Skin biopsy of chronic ulcer margin
    By dpumford in forum Dermatology
    Replies: 0
    Last Post: 02-23-2010, 07:14 AM

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.