Chrys Posted Mon 16th of January, 2017 04:53:09 AM
There is no definitive diagnosis. The only written information on requisition is surveillance for colon polyps. What would you assign? Thanks Annette
SuperCoder Answered Tue 17th of January, 2017 04:56:32 AM
A screening is performed for asymptomatic patients with no history of colon cancer, polyps, and/or gastrointestinal disease. Whereas, surveillance can be performed at varying ages and intervals based on the patient’s personal history of colon cancer, polyps, and/or gastrointestinal disease. Patients with a history of colon polyp(s) are not recommended for a screening colonoscopy, but for a surveillance colonoscopy. When the screening test results in the diagnosis of clinically significant colorectal adenomas or cancer, the patient will be followed by a surveillance regimen and recommendations for screening are no longer applicable. So, check your documentation for history of colon polyp/cancer and select the diagnosis code accordingly.