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Colonoscopy w/history of polyps

Amber Posted Mon 21st of September, 2015 16:29:17 PM

If patient as history of polyps, but has had 2 colons done w/out finding more polyps in 10 years should this still be coded V12.72 for a screening colon?

SuperCoder Answered Tue 22nd of September, 2015 04:55:10 AM

Well, thanks for your question.

Yes, this visit still be coded with V12.72 (Personal history of colon polyps) because patient's other two screening colonoscopies were normal. If there were any other findings, that would be in the first line of the claim.

Amber Posted Tue 21st of June, 2016 08:11:04 AM
so you are saying the V12.72 should be the first line diagnosis and then if they had diverticulosis that would be the 2nd diagnosis coded? Or are you saying the diverticulosis comes first then the history of polyps? I get this question alot from patients saying they hadn't had polyps for 10 years why would we still be coding it as such.
SuperCoder Answered Wed 22nd of June, 2016 06:55:22 AM
As per general coding guidelines, current diagnosis has to be billed first than history code. However, personal history codes explain a patient's past medical history that no longer exists and is not receiving any treatment, but that has to be potential for recurrence, and therefore may require continued monitoring. So, in your case primary code will be diverticulosis and then the history of polyp will be coded.

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