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Diagnosis Order for Previous Polyp Removal

Randa Posted Mon 06th of February, 2012 16:05:11 PM

Patient previously had colonic polpys removed and is returning now for follow up colonoscopy and the doctor finds and removes more polyps. I have been billing the diagnosis as follows: V67.09, V12.72, 211.3. I was just told by a hosipital coder that according to their guidelinese that is not correct and would be "dinged" in an audit because I should have only billed 211.3 for the new findings. The V codes are only to be used if they do not find and remove new polpys.

Any thoughts, please.

SuperCoder Answered Mon 06th of February, 2012 20:03:33 PM

In a follow-up colonoscopy visit, if the further colonoscopy exam gives findings of colonic polyp, then the Dx codes would be 211.3, and additionally you can code V12.72, and V67.09

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