Hyperplastic Rectal Polyp with Adenomatous Changes

The patient presented for colon cancer screening due to increased risk secondary to family history of colon cancer. During the screening colonoscopy, a rectal polyp was found and removed via hot snare. The pathological findings revealed “hyperplastic polyp with focal adenomatous changes.” Should code K62.1, Rectal polyp or code D12.8, Benign neoplasm of rectum, be assigned for a hyperplastic rectal polyp with focal adenomatous changes? ...

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Note:  The following article synopsis was NOT provided by the AHA. It was created by Find-A-Code/innoviHealth.

Article Overview

This premium article examines a colon cancer screening scenario in which a rectal polyp was removed and pathology reported mixed features. It is intended for coding professionals who need guidance on diagnosis coding for screening colonoscopy cases, rectal polyp findings, and related pathology terminology.

Why This Topic Matters

Accurate diagnosis coding in screening colonoscopy cases affects claim integrity and how pathology findings are represented in the medical record. The article helps readers understand how the documented screening context and polyp pathology are addressed in coding guidance.

What You Will Learn

  • How a screening colonoscopy scenario is framed for coding purposes
  • How mixed pathology terminology in a rectal polyp case is addressed
  • How diagnosis coding considerations are presented in the context of colon cancer screening records
  • How the article approaches selection among diagnosis options for a rectal polyp finding

Who Should Read This

  • Medical coders
  • Coding auditors
  • Compliance staff
  • Revenue cycle professionals
  • Clinical documentation specialists

Codes Discussed


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