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Control of bleeding or ablation?

Janet Posted Mon 01st of August, 2011 23:13:37 PM

My dr did a colonoscopy on a patient who has radiation proctitis, admitted with anemia and rectal bleeding. I don't know which code would be better control of bleeding or ablation. The following is from his report:

"Severe diverticulosis is present in the sigmoid colon without suggestion of bleeding. No polyps are found. Telangiectasia consistent with radiation damage is found in the rectum with spontaneous bleeding noted from one area. This and the telangicetasia in proximity are “ablated” with Argon Plasma coagulation with cessation of bleeding. Internal hemorrhoids are noted on retroflexion."

Thanks

SuperCoder Answered Tue 02nd of August, 2011 15:21:33 PM

cpt:45382
icd: 569.3
additional dx for hemorrhagic telangiectasia.

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