HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Suggest Treatment For Endometrial Polyp Arising From The Left Cornual Region?

PRE/POSTOPERATIVE DIAGNOSIS: Postmenopausal bleeding with probable polyp seen on saline sonohysterogram. OPERATIVE FINDINGS: Endometrial polyp seen arising from the left cornual region. Otherwise, benign uterine cavity. PROCDEDURE: The patient was taken to the operation room and general anesthesia was administered. The patient was then prepped and draped in the usual manner in lithotomy postion and the bladder was emptied with straight catheter. A weighted speculum was placed to allow for visualization of the cervix, which was grasped anteriorly using single-toothed tenaculum. The uterus was then sounded to 9cm depth. The cervix was dilated to allow for insertion of the diagnostic hysteroscope. The uterine cavity was then inspected. Immediately apparent was a polyp arising from the left cornual region. Remainder of the uterine cavity was inspected and apppered to be benign. Minimal endometrial tissue was otherwise present. At this point, the hysteroscope was removed, and polyp forces was place within the uterus. Attempt was made to grasp the polyp, but this could not be grabbed with polyp forceps. Therefore, a sharp curet was used and the polyp was thereby obtained and removed. A small amount of endometrial tissue was also obtained by curettage. Once this had been completed, the hysteroscope was reinserted and the cavity was reinspected. It was confirmed that the polyp was removed. Otherwise, the endometrial canal then appeared normal. At this point, the procedure was terminated. Tenaculum was removed, and good hemostasis was ensured at the cervix. The patient tolerated this procedure well. There were no complications. Fluid in was 325 cc and was equal to fluid out at the end of the procedure. Estimated blood was minimal. Please provide CPT Code:_______ and ICD-9-CM Code:_______ My answer is 0000-LT and 621.0, but also I am not to sure if it s right one and if there are another codes associated with this report needed to provide aside from my answer. I appreciate taking your time for
Mon, 13 Mar 2017
Report Abuse
OBGYN 's  Response
Hello,
Thanks for writing to us. The polyp in the cornual region of the uterus has already been removed during the procedure. I presume that the specimens were sent for histopathological examination. No other obvious abnormal feature was detected as per the discussion. Further management can be planned once the biopsy report is obtained. Please get regular follow up. Hope this helps.
I find this answer helpful

Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 
Loading Online Doctors....
Suggest Treatment For Endometrial Polyp Arising From The Left Cornual Region?

Hello, Thanks for writing to us. The polyp in the cornual region of the uterus has already been removed during the procedure. I presume that the specimens were sent for histopathological examination. No other obvious abnormal feature was detected as per the discussion. Further management can be planned once the biopsy report is obtained. Please get regular follow up. Hope this helps.