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polyp or not ?

Posted Tue 02nd of August, 2011 15:48:22 PM

Doctor removes what he thought was a polyp but the pathology reports states "Polyp":- Vegetable material only. So what icd-9 dx code would you use? would 211.3 still be appropriate or another code?

SuperCoder Answered Tue 02nd of August, 2011 18:36:00 PM

Depends on the place of service.
If patient is an Inpatient, the earlier radiological findings suggested there is a polyp, for whcih a surgery is scheduled, then you would code this as polyp 211.3.
Because it is only pathological findings which confirmed it as vegetable, you can consider this had it been an outpatient setting, and it would have coded 936.

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