Find comprehensive information on tubular adenoma, including clinical documentation tips, ICD-10 and SNOMED codes, histology, pathology reports, colonoscopy findings, polyp removal procedures, and potential complications. Learn about the diagnosis, treatment, and management of tubular adenoma from a healthcare and medical coding perspective. This resource provides essential information for physicians, nurses, coders, and other healthcare professionals seeking accurate and up-to-date information on tubular adenoma.
Also known as
Benign neoplasm of colon, rectum, anus
Benign growths in the large intestine, including tubular adenomas.
Polyp of colon
Includes various colon polyps, sometimes including tubular adenomas.
Benign neoplasms
Encompasses benign tumors of various sites, including the digestive system.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the tubular adenoma of the colon?
Yes
Is it with high-grade dysplasia?
No
Is the tubular adenoma of the stomach?
When to use each related code
| Description |
|---|
| Benign gland polyps in colon/rectum |
| Tubular adenoma, precancerous colon polyp |
| Villous adenoma, precancerous colon polyp |
Q: What are the most effective surveillance strategies for low-risk tubular adenoma post-polypectomy, considering size and location?
A: For low-risk tubular adenomas, typically defined as those less than 10mm and without high-grade dysplasia, post-polypectomy surveillance intervals are guided by current guidelines such as those from the US Multi-Society Task Force on Colorectal Cancer. For diminutive (1-5mm) tubular adenomas, a repeat colonoscopy in 10 years is often sufficient. Adenomas between 6-9mm may warrant a shorter interval, like 5-10 years, depending on other risk factors (e.g., number of adenomas). Location within the colon can also influence surveillance recommendations. Consider implementing risk stratification tools that incorporate adenoma characteristics to personalize surveillance strategies and optimize resource allocation. Explore how our risk calculator can assist in tailoring your approach to individual patients. Learn more about the latest guideline updates for colonoscopy surveillance.
Q: How can I differentiate a tubular adenoma from a serrated polyp on colonoscopy, and what are the implications for management?
A: Differentiating between a tubular adenoma and a serrated polyp during colonoscopy can be challenging, relying on subtle visual cues like surface texture and pit pattern. Tubular adenomas often appear pedunculated or sessile with a smooth, reddish surface. Serrated polyps, particularly sessile serrated lesions, may exhibit a more subtle, flat elevation with a stellate or irregular pit pattern. However, definitive diagnosis requires histopathological examination. Accurate differentiation is crucial because management differs significantly. Tubular adenomas carry a lower risk of malignant progression compared to some serrated lesions, especially those with dysplasia. Explore how advanced imaging modalities like narrow band imaging or chromoendoscopy can improve the detection and characterization of these polyps. Consider implementing standardized polyp assessment protocols within your practice to enhance diagnostic accuracy and optimize patient outcomes.
Patient presents with complaints suggestive of a possible colorectal polyp, including rectal bleeding, changes in bowel habits, or abdominal discomfort. Colonoscopy revealed a tubular adenoma located in the (specify location, e.g., sigmoid colon). The adenoma was (size in mm) in diameter, (sessile or pedunculated), and (describe appearance, e.g., smooth, villous, granular). Complete endoscopic resection of the tubular adenoma was performed via (polypectomy technique, e.g., snare polypectomy, cold forceps polypectomy). The specimen was retrieved and sent for histopathologic examination. The patient tolerated the procedure well. Diagnosis: Tubular adenoma of the colon. Differential diagnoses included hyperplastic polyp, sessile serrated adenoma, traditional serrated adenoma, and adenocarcinoma. Follow-up colonoscopy is recommended in ( timeframe, e.g., 10 years, 5 years, or sooner based on risk factors) for surveillance of potential recurrence or development of new colorectal polyps. Patient education provided on colon cancer screening guidelines, importance of follow-up, and lifestyle modifications for colorectal cancer prevention including diet and exercise recommendations. ICD-10 code D12.6 (Benign neoplasm of colon) is applicable. CPT codes for the procedure will depend on the complexity of the polypectomy performed (e.g., 45385, 45384). Patient was advised to contact the office with any concerns or changes in their condition.