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.



4 Comments

  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.

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  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.

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    • Query is the only option.

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