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Click here for more sample CPC practice exam questions and answers with full rationale

Coder dilemma

Im having a coder dilemma: my supervisor told me to code from the procedure report on any lower GI procedures even if a path report exists. I DONT AGREE. We are to code to the highest level of specificity. I have issues with the providers impression that the pt has sessile polyps does the resection then states in the report AWAIT PATH RESULTS. I would not code the polyp when the path report clearly states that the tissue is NOT polypoid and is either a fold or mucosal tissue with lymphoid aggregates. Supervisor says that per the AGE……GI is the only specialty that allows this kind of coding. Thank you. Linda P

Medical Billing and Coding Forum – Compliance General Discussion