tci General Surgery Coding Alert - 2018 Issue 2

Reader Question: Clarify Diverticulosis Coding

Question: We have an op report from a colonoscopy in which the surgeon diagnosed diverticulosis. I'm trying to find the correct diagnosis code for the claim, but I'm confused about the difference between diverticulosis and diverticulitis. Could you clarify coding for these conditions? Illinois Subscriber Answer: For a diverticulosis diagnosis during a colonoscopy, you should report the appropriate code such as K57.30 (Diverticulosis of large intestine without perforation or abscess without bleeding). If the op report notes comorbid conditions such as perforation or abscess, you would need to pick a different appropriate code. Regarding the distinction between diverticulosis...

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