Patient had polyps removed on a previous colonoscopy. The patient returns three months later for a follow-up examination for another colonoscopy. No new polyps are seen.
What diagnosis coding is reported for the second colonoscopy?
Patient had polyps removed on a previous colonoscopy. The patient returns three months later for a follow-up examination for another colonoscopy. No new polyps are seen.
What diagnosis coding is reported for the second colonoscopy?
he is coming for follow and no polyps are present . so it comes under history code not a current condition.correct me if iam wrong . thankyou
Patient had polyps removed so we need to consider K635, If provider mentions history of, then only we can consider as history of condition
If a patient returns for a follow-up colonoscopy after previous polyp removal, the diagnosis code typically reported is Z09 (Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm) as this signifies a surveillance procedure to check for recurrence of polyps; "Z86.010" (Personal history of colonic polyp) may also be included as a secondary code depending on the specific documentation.
a is history. z86.010 Z09 FOLLOW UP