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  1. #1
    Unhappy colonoscopy
    Medical Coding Books
    Ok, I have a question regarding the rules of screening colonoscopies for the Pathologist side- If a patient comes in for a routine screening and a polyp is found- then the polyp is sent to the pathologist- what rules does he need to follow for the colonoscopy? Some articles I have found say it is a diagnostic with 211.3 only. Another article said it has to be coded with V76.51 to keep it listed as a screening and then 211.3 as secondary.

    I'm at a loss as to what to tell my pathologist. He is sending me 88305 with V76.51 and that's it, even though he's got cecal polyp he's checking out.

    Any advice???

    Brooke Bierman, CPC, CPB
    Coding & Billing Manager
    2014 President AAPC Des Moines Chapter

  2. #2
    Columbia, MO
    You code the screening first and the polyp second.. The slide was sent to you as a screening, the finding of the polyp is incidental, therefore it is coded second.

    Debra A. Mitchell, MSPH, CPC-H

  3. #3
    Thank you Debra! I'll let the path know he needs to document the secondary code along with the screening code

    Brooke Bierman, CPC, CPB
    Coding & Billing Manager
    2014 President AAPC Des Moines Chapter

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