AHA Coding Clinic® for HCPCS - 2019 Issue 4; Ask the Editor

Endoscopic mucosal resection (EMR)

During a colonoscopy, a 1 cm sessile polyp was identified in the cecum. The polyp was removed by endoscopic mucosal resection (EMR) using the underwater EMR technique. Water was pumped into the cecum completely submerging the polyp underwater isolating it from the underlying mucosa. The polyp was then removed via hot snare polypectomy. What is the correct code for this procedure? Is a code assigned for an EMR if the polyp was lifted via water rather than a submucosal injection or is this reported as a colonoscopy with snare removal? ...

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