Preoperative diagnosis: Melena
Postoperative diagnosis: Internal hemorrhoids
Procedure: Colonoscopy
The 60-year-old patient was experiencing melena and it was recommended that he complete a colonoscopy as an outpatient procedure. The patient was prepped in the surgical suite and a scope inserted into the rectum and the large intestines examined which showed internal hemorrhoids. A biopsy was taken and sent to pathology. The scope was extracted and the patient was sent to the recovery room in good condition.
Select the appropriate CPT and ICD-10-CM codes.

Question

Quizplus · Accepted Answer

45380 is the CPT code for colonoscopy with biopsy, which matches the procedure described. K64.8 is the ICD-10-CM code for other specified hemorrhoids, which includes internal hemorrhoids not otherwise specified, aligning with the postoperative diagnosis.

Preoperative Diagnosis: Melena Postoperative Diagnosis: Internal Hemorrhoids