AHA Coding Clinic® for ICD-9 - 2004 Issue 1; Ask the Editor

Screening Examinations with Definitive Procedure

Coding Clinic Fourth Quarter 2001 advises the assignment of code V76.51, Special screening for malignant neoplasms, Colon, as the first-listed code when a patient with no personal history of gastrointestinal disease and no signs and symptoms has a screening colonoscopy performed that reveals a polyp. Is the code assignment different when the polyp is removed during a screening colonoscopy? It would seem that when a condition is found and treated, the procedure becomes a definitive procedure and is no longer a screening test. ...

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