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What do you suggest for endometrial polyp seen arising from the left cornual region?

provide the cpt and icd-9 diagnosis codes for the following inpatient hospital scenario pre/postoperative diagnosis: postmenopausal bleeding with probable polyp seen on saline sonohysterograms operative finding: endometrial polyp seen arising from the left cornual region. otherwise, benign uterine cavity. procedure: the patient was taken to the operating room and a general anesthetic was administered. the patient was then prepped and drapedin the usaual manner in lithotomy position and the bladder was emptied with a straight catheter. a weighted speculum was placed to allow for visualization of the cervix, which was grasped anteriorly using single-toothed tenaculum. the uteru wasthen sounded to 9cm in depth. the cervix was dilated to allow for insertion of the diagnotia hysteroscope. the uterine cavity was then inspected. immediatly apparent was a polyp arising from the left cornual region remainder of uterine cavity was inspected and appeared to be benign. minimal endometrial tissue was otherwise present at this point the hysteroscope was removed, and polyp forceps was placed within the uterus. attempt but this could not be grabbed with the 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. otherewise 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 loss was minimal cpt code ___________ icd-9-cm ____________
Asked On : Sun, 26 Jan 2014
Answers:  1 Views:  128
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OBGYN 's  Response
Hello.
Thanks for writing to us.
The endonetrial polyp in the left cornual region is best if removed surgically. It involves a minor day care procedure and will help in relieving all the symptoms that you have.
I hope this information has been both informative and helpful for you.
Regards,
Dr. Rakhi Tayal ,
drrakhitayal@gmail.com
Answered: Sat, 1 Feb 2014
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