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Randa Posted Fri 22nd of October, 2010 16:12:17 PM

My doctor did a colonoscopy with a snare removal of a polyp. It was determined by the pathologist that the polyp was not part of the specimen submitted - it obviously got "lost" in the trap. What diagnosis would you use for this? It started out as a screening which if V76.51 but I need a secondary diagnosis to support the procedure. There is not a general polyp of the colon code.

SuperCoder Answered Fri 22nd of October, 2010 19:07:52 PM

I think you need to submit with documentation from the pathologist showing insufficient specimen.

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