tci Outpatient Facility Coding Alert - 2017 Issue 12

You Be the Coder: Determine Correct ICD-10 Code for Polyps

Question: When the gastroenterologist documents a polyp removal, how do we know which diagnosis code to report? Nebraska Subscriber Answer: To choose the correct ICD-10 code for a polyp, you need to carefully review the medical documentation. Your first step will be to identify the polyp's specific location. ICD-10 codes are very location specific, and even for the colon region, there are six polyp codes (D12.0 - D12.5) based on whether the polyp is in the cecum, appendix, ascending colon, transverse colon, the descending colon, or the sigmoid colon. Only report the non-specific polyp code D12.6...

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