Robyn Posted Thu 18th of June, 2015 14:20:47 PM
Patient had a hyperplastic polyp of the rectum removed via polypectomy at the beginning of the year; pathology described the tissue as hyperplastic polyp/polypoid scar tissue with pigmentation. Physician wants to perform a flex sig to reassess the polypectomy site this month. Patient had original colonoscopy due to problems, patient is not yet 50 and has not had a screening. I am reluctant to use V12.72 as the diagnosis for the flex sig because the polyp was hyperplastic. What diagnosis code should I use?
SuperCoder Answered Fri 19th of June, 2015 05:45:31 AM
Physician want to do the procedure to reassess the polypectomy site for any another growth for neoplastic behavior. Use primary Diagnosis code as V71.1 (Observation for suspected malignant neoplasm) along with V12.72.