ICD-10 code help for homework

Anonymous
timer Asked: Mar 16th, 2016

Question description

Clinic Procedure, Flexible Sigmoidoscopy

This gentleman presents for a screening flex sigmoldoscopy. He recently had a full physical, and because of his age, he was advised to have this procedure. No GI symptoms. The patient was placed in the left lateral decubitus position. The scope was inserted and passed with relative ease to 60 cm. On withdrawal, a 3-4 mm polyp was noticed at about 35 mm. A Polaroid photo was taken, On further withdrawal, another larger and pedunculated polyp, perhaps 4-5 mm was noticed at 20 cm. Two pinch biopsies were taken of this polyp. There were no other constricting lesions noted. Prep o the colon was good.

Impression: Screening flex sigmoidoscopy was two small polyps. Biopsies were taken of the more distal polyp.

Plan: Pathology will be reviewed. I feel this gentleman should have a colonoscopy for formal removal of these polyps. I will arrange this test today.

Pathology findings: Benign polyp tissue.

ICD 10-CM Codes  __________________,  ___________________  (need two ICD 10 codes)

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