AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2018 Issue 2; Ask the Editor
Sessile Serrated Polyp
A patient had a finding of sessile serrated polyp in the ascending colon on screening colonoscopy. Our gastroenterologist is advising coding professionals that this type of polyp is a benign neoplasm. How should a sessile serrated polyp of the ascending colon be coded (hyperplastic or adenomatous)? ...
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Article Overview
This Find-A-Code article is aimed at coding professionals working with colonoscopy findings and related gastrointestinal pathology terminology. It discusses the classification of sessile serrated polyps in the ascending colon, why that classification matters for diagnosis coding, and the general distinction being drawn between serrated, adenomatous, and hyperplastic terminology in the context of ICD-10-CM.
Why This Topic Matters
Accurate coding of colonoscopy findings depends on understanding how pathology terms are categorized. This article helps readers align documentation with the appropriate ICD-10-CM diagnosis category for a common screening-colonoscopy finding.
What You Will Learn
- How the article frames sessile serrated polyp terminology in relation to diagnosis coding
- Why the classification of a colon polyp affects ICD-10-CM code selection
- How the discussion distinguishes broad polyp categories used in coding practice
- What kind of guidance a coder should look for in colonoscopy-related pathology documentation
Who Should Read This
- Medical coders
- Coding auditors
- GI billing staff
- Clinical documentation specialists
- Revenue cycle professionals
Codes Discussed
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