I have look over and over for the cpt code for excision of a retal polyp , closest code I come up with is 46922, not sure if this is right . As it says operative report he used a scalpel to use this, DOC office says to use 45990 which is a anorectal exam with cpt code 46611 by snare technique, which I disagree with their code .Any suggestions? thanks
OSTOPERATIVE DIAGNOSIS: Rectal polyp.
OPERATION: Excision of rectal polyp.
BLOOD LOSS: None.
PROCEDURE IN DETAIL:
The patient was taken to the OR and prepped and draped in the usual sterile fashion in lithotomy. Once this was done, rectal exam revealed a polyp on the anterior rectal wall. The polyp was well visualized. Using the Harmonic scalpel, it was removed in its entirety, across its well defined pedunculated stalk. This left a small defect. The defect was closed with two 3-0 Vicryl interrupted sutures. There was excellent hemostasis in the area. All needle and sponge counts were correct. Specimen was sent to Pathology for permanent section.
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