AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2021 Issue 1; Ask the Editor

Hemoccult Positive Stool Finding

A patient with guaiac positive stool presents for outpatient esophagogastroduodenoscopy (EGD) and colonoscopy. The EGD revealed a non-bleeding gastric antral erosion. The colonoscopy revealed a polyp at the ileocecal valve, diverticulosis of the descending and sigmoid colon and mild internal hemorrhoids, all without active bleeding. Coding Clinic, Third Quarter 2018, pages 21-23, advised to assign combination codes “with bleeding” for conditions where ICD-10-CM makes a linkage between the conditions and bleeding. Does this advice also apply to occult/guaiac positive stool without provider documentation of bleeding/hemorrhage? ...

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