Lesion Removed During Endoscopy

Test your skills with a new coding question from Clinical Coding Workout every Monday.

When the physician does not specify the method used to remove a lesion during an endoscopy, what is the appropriate procedure?


Source: AHIMA Press. Clinical Coding Workout, 2019. https://my.ahima.org/store/product?id=65592.



8 Comments

    • Good knowledge, it helps me to prepare for my cpc exam

      Post a Reply
  1. not appropriate for the coding professional to assume that the removal was done by either snare or hot biopsy forceps. The ablation code is only assigned when a lesion is destroyed, and no specimen is retrieved. The coding professional must query the physician to assign the appropriate code.

    Post a Reply
  2. None of the options can be selected unless physician specifies , and to get the correct root operation Physician must specify if a lesion is removed/destroyed.

    Post a Reply
    • Query is the only option.

      Post a Reply
  3. yes thanks,
    you need this information to even start your procedure coding

    Post a Reply
  4. I like to think this has not changed since my days of coding in ICD-9–The physician needs to be asked how the lesion was removed. NEVER ASSUME!!

    Post a Reply
  5. Can’t make assumptions, must query the physician.

    Post a Reply

Submit a Comment

Your email address will not be published. Required fields are marked *

Share This

Share This

Share this post with your friends!