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Thread: Screening Colonoscopy Coding

  1. #1
    Join Date
    Apr 2007
    Location
    Hamden, Ct
    Posts
    28

    Question Screening Colonoscopy Coding

    Promo: Code Books
    I have worked at an ASC for 7 years. At a round table the other evening, a hospital coder said that if a patient is booked for a screening colonoscopy, and a polyp is found- code V76.51, followed by 211.3..... I was always taught that in this instance the procedure becomes surgical and to code the polyp (usually we use 239.0) without the screening V code....

    Can anyone comment, help, or provide me with a place that I can find it clearly stated....

    Thanks !
    Donna

  2. #2

    Smile

    HI,

    I am doing for ASA, there is also I have same instruciton when screening and polyp are seen both should be coded.

    I am very curious to know logic behind this.

  3. #3

    Smile

    HI,

    I am doing for ASA, there is also I have same instruciton when screening and polyp are seen both should be coded.

    I am very curious to know logic behind this.

  4. #4
    Join Date
    Apr 2007
    Location
    Torrington
    Posts
    20

    Default

    Hi Donna! Coding Clinic 1st Q 2004 states that you would code the screening V-code first and then list the findings as secondary codes. If the patient was booked for a screening colonoscopy, that is the reason for the encounter. We code the V76.51 then 211.3 or whatever is found during the procedure.

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