decisionhealth Newsletters, decisionhealth - 2010 Issue 3 (March)
Gastroenterology RoundUp: Dx coding for colonoscopy on patient with history of polyps
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Article Overview
This gastroenterology coding article explains how diagnosis coding for colonoscopy may be approached when a patient has a history of polyps and polyps are found during the procedure. It is aimed at coders and billing staff who need to understand the distinction between screening and diagnostic encounters and the role of history and condition codes in sequencing. The article also points readers to official ICD-9-CM guidance sources and Coding Clinic references for supporting diagnosis coding policy.
Why This Topic Matters
Correctly identifying the type of colonoscopy encounter and the appropriate diagnosis sequencing affects claim accuracy and compliant reporting. The article is relevant to practices coding gastrointestinal procedures, especially when patient history and findings both influence the final diagnosis list.
Article Sections
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Question
Introduces the coding scenario involving colonoscopy for a patient with a history of polyps and asks which diagnosis should be billed first.
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Answer
Summarizes the guidance on how coding may differ depending on whether the encounter is considered screening or diagnostic, and references official ICD-9-CM sources.
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Official resources
Lists the external coding guidance references cited in the article.
What You Will Learn
- How colonoscopy encounters with a history of polyps are discussed in coding guidance
- Why screening and diagnostic encounters are treated differently in diagnosis sequencing
- Which official ICD-9-CM resources are referenced for additional guidance
- How supporting diagnoses and findings may factor into the reported diagnosis set
Who Should Read This
- Medical coders
- Billing staff
- Gastroenterology practices
- Revenue cycle professionals
Codes Discussed
Code Ranges Discussed
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