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History of Colonic polyps

  1. Default History of Colonic polyps
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    Patient coming in for colonoscopy with a history of colonic polyps. Not sure when the last colonoscopy was performed. polyps found in the ascending and sigmoid colon and both was biopsied. how would you code this.

    45380 v76.51, 211.3, v12.72
    or
    45380 211.3, v12.72
    or
    45380 211.3

    ???????

    Thank you for your time!
    Kelly Sumansky, MA, CPC-H, CMC

  2. #2
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    ENGLEWOOD/DENVER
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    45380 211.3, v12.72 is my answer (you made no mention in your entry that this was a screening)

  3. #3
    Location
    Duluth, Minnesota
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    I agree with mbort - I'd would also code it; 45380 211.3, v12.72
    {that's my opinion on the posted matter}
    Donna, CPC, CPC-H

  4. Default
    oh sorry, the doctor's H&P stated screening/hx of polyps.
    OR Report stated screening, but no mention of hx of polyps
    Kelly Sumansky, MA, CPC-H, CMC

  5. #5
    Location
    Greeley, Colorado
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    Question: Is this a Medicare patient? It would require a different way of listing/linking the dx codes if it is...and if it was indeed screening...
    Lisa Bledsoe, CPC, CPMA

  6. Default
    Not Medicare, Preferred blue Highmark
    Kelly Sumansky, MA, CPC-H, CMC

  7. Default
    I was taught that if a patient has a history of polyps any future colonoscopy it is not considered a screening any more. The patient has a problem that needs surveillance. The screening is the initial procedure checking for any problems that may result in cancer. Unchecked polyps may result in cancer, therefore the patient is not having a screening any more, they are being checked for additional problems due to the history of polyps.

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