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How do you remove and code for the following polyps?

1. 15 mm adenomatous-appearing polyp. Would you inject and remove with cold vs hot snare? If you inject, would you code this as EMR or inject and lift? 2. 15 mm serrated-appearing polyp. Would you remove this piecemeal with or without injection? If you inject, would you code this as EMR or inject and lift?
1 Answer
Mednet Member
Mednet MemberInvited Expert
Gastroenterology · Wright State University
Answered on
  1. I would inject and remove with a hot snare. It also depends on the location of the polyp. If the polyp is in the cecum, I would use a cold snare. I would code this as EMR.
  2. I would inject and remove this one also in one piece if possible. I would code this as EMR.

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