Quantcast
Channel: Supercoder - Ask an Expert? Forum: Gastroenterology Coding - Recent Posts
Viewing all articles
Browse latest Browse all 1013

on "Diagnosis for nonspecific colonoscopy findings"

$
0
0

What diagnosis code would you use based on the following:

Procedure:
Colonoscopy:
Multiple pedunculated polyps were found in the transverse colon and in the ascending colon consistent with inflammatory polyps. There was patchy erythema throughout colon, multiple random biopsies taken with cold forceps.

Pathology Results:
"Final Diagnosis:
A. RIGHT COLON, RANDOM ENDOSCOPIC BIOPSIES:
- FOCALLY POLYPOID FRAGMENTS OF COLONIC MUCOSA WITH NONSPECIFIC
CHANGES
B. LEFT COLON, RANDOM ENDOSCOPIC BIOPSIES:
- COLONIC MUCOSA WITHOUT DIAGNOSTIC ALTERATION"
Diagnosis comment on pathology report: "The specimens contain colonic mucosa with focal polypoid change in the right colon and areas of lymphoid aggregation in the right colon and rectosigmoid specimens. Mild lamina propria edema and chronic inflammation are identified, and the polypoid changes in the right colon specimen would be compatible with old inflammatory polyps. There is no evidence of malignancy or dysplasia and there is no histologic evidence of active inflammatory bowel disease."

The indication for the colonoscopy is "High risk colon cancer surveillance, ulcerative colitis".

What would the most appropriate dx be?


Viewing all articles
Browse latest Browse all 1013

Trending Articles