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High risk V12.72 but now has another DX prior to colonoscopy

Kevin Posted Mon 20th of January, 2014 13:57:44 PM

Patient returning for a colonoscopy because he is "high risk" with having "history of colonic polyps". I know normally the ICD-9 I would use for this recent colonoscopy would be V12.72 BUT now prior to having the colonoscopy the patient also has Heme-positive stool. Would I still put V12.72 as the primary DX, and then 792.1 as a secondary? Or would I just use 792.1 without using V12.72. Patient was instructed to return in 5 years for surveillance.

SuperCoder Answered Tue 21st of January, 2014 10:13:05 AM

Assign code V67.09, Follow-up examination following surgery. Code V12.72, Personal history of certain other diseases, diseases of the digestive system, colon polyp, should be assigned as an additional diagnosis.

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