Understanding Hyperplastic Polyp diagnosis, treatment, and clinical documentation is crucial for accurate medical coding. This resource provides information on Hyperplastic Polyp ICD-10 code, SNOMED CT code, histology, pathology, differential diagnosis, colonoscopy findings, and endoscopic mucosal resection considerations. Learn about sessile hyperplastic polyp, pedunculated hyperplastic polyp, and the significance of size, location, and number of polyps for appropriate management and coding guidelines.
Also known as
Diseases of the digestive system
Includes conditions affecting the mouth, esophagus, stomach, intestines, and related organs.
Benign neoplasms
Covers non-cancerous growths in various body locations, including polyps.
Anus and rectum diseases
Includes various anorectal conditions, sometimes involving polyps.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the hyperplastic polyp of the colon?
When to use each related code
| Description |
|---|
| Hyperplastic polyp |
| Sessile serrated adenoma |
| Traditional serrated adenoma |
Coding hyperplastic polyp without specifying anatomical location (e.g., colon, stomach) leads to claim rejection and inaccurate data.
Incorrect documentation or coding of polyp size impacts clinical decision-making and potential for higher reimbursement.
Failing to accurately document the number of hyperplastic polyps identified can affect surveillance recommendations and coding accuracy.
Q: What are the most effective endoscopic resection techniques for diminutive and small hyperplastic polyps in the colon, considering factors like size, location, and morphology?
A: Diminutive and small hyperplastic polyps, particularly those less than 5mm and located in the rectosigmoid, are often managed with cold forceps polypectomy due to their low risk of malignancy. For slightly larger hyperplastic polyps or those with sessile morphology, hot snare polypectomy may be preferred to ensure complete removal and reduce the risk of recurrence. However, for polyps located in difficult areas like the proximal colon or those with a flat morphology, endoscopic mucosal resection (EMR) or endoscopic submucosal dissection (ESD) may be considered, although this is less common for purely hyperplastic lesions. The choice of technique should be guided by the endoscopic appearance, location, and size of the polyp, balancing the need for complete resection with the desire to minimize procedural risk. Explore how advanced endoscopic imaging modalities like narrow-band imaging (NBI) can aid in characterizing these polyps and guide resection decisions.
Q: How does the management of hyperplastic polyps differ in patients with serrated polyposis syndrome (SPS) compared to sporadic hyperplastic polyps, and what surveillance guidelines should be followed?
A: Managing hyperplastic polyps in patients with suspected or confirmed serrated polyposis syndrome (SPS) requires a different approach than managing sporadic hyperplastic polyps. While isolated, small hyperplastic polyps are typically considered low risk, the presence of multiple serrated lesions, especially those with features like large size (>1cm), proximal location, or a mixed morphology, raises the risk of synchronous or metachronous colorectal cancer. Patients with SPS require more intensive surveillance colonoscopy, often at shorter intervals (e.g., 1-3 years) depending on the number and characteristics of the serrated lesions. Complete removal of all identifiable serrated polyps is crucial. Consider implementing a standardized endoscopic reporting system to accurately document polyp characteristics and guide surveillance strategies. Learn more about the specific criteria for diagnosing SPS and the recommended surveillance guidelines from reputable gastroenterological societies.
Patient presents with complaints suggestive of a hyperplastic polyp. Symptoms may include rectal bleeding, changes in bowel habits, or incidental finding during colonoscopy screening for colorectal cancer. Physical examination including digital rectal exam may reveal no significant abnormalities. Colonoscopy revealed a sessile hyperplastic polyp measuring less than 5mm located in the rectumsigmoid colon. The polyp appeared pale, smooth, and without pedunculation. Biopsy confirmed the diagnosis of hyperplastic polyp, demonstrating characteristic microscopic features of serrated architecture without cytologic dysplasia. Differential diagnoses included adenomatous polyp, sessile serrated adenoma, and traditional serrated adenoma. Given the small size and benign histology, endoscopic resection was performed during the colonoscopy, and complete removal was confirmed. The patient tolerated the procedure well. Diagnosis of hyperplastic polyp rectum, ICD-10 code K62.1, was assigned. The patient was advised on the importance of routine colon cancer screening and surveillance colonoscopy based on current guidelines. No further treatment is indicated at this time. Follow-up colonoscopy is recommended. Patient education provided regarding polyp formation, colon cancer risk factors, and dietary recommendations for colon health. Emphasis placed on increasing fiber intake and maintaining a healthy lifestyle.