Gastroenterology Coding Alert
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You Be the Coder: Method Overrides Numbers While Reporting Polyp Removal



Question: Our gastroenterologist recently performed a colonoscopy. The operative report read like this:Multiple small and large-mouthed diverticula were found in the sigmoid colon. Estimated blood loss: none. A pedunculated polyp was found in the sigmoid colon. The polyp was 20 mm in size. The polyp was removed with a hot snare. Resection and retrieval were complete. Estimated blood loss: 25 [...]

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