I work for a pathology group, so the specialty is different, but in our world, when there is not a definitive diagnosis we code from signs/symptoms, even though signs/symptoms may not justify the surgery, if it's all we have, it's what we have to go with.
Patient has SOA and CP but ends up having a colonoscopy for suspected neoplasm, which turns out to be unremarkable. Guess what their diagnosis is? Yup! SOA & CP!
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