Polyp Removal: Is It Considered a Minor Surgery? - Gastroenterology and Hepatology

Share to:

Colorectal polyps


Hello Dr.
Yang: The insurance agent mentioned that the removal of polyps via gastroscopy and colonoscopy might be considered a minor surgery.
Therefore, I would like to ask Dr.
Yang: 1.
Is the removal of polyps through gastroscopy and colonoscopy considered a minor surgery? 2.
If it is considered a minor surgery, can the diagnosis certificate be modified? 3.
Is it necessary to consult the attending physician to modify the diagnosis certificate? 4.
Can an authorized representative go to the outpatient clinic to modify the diagnosis certificate?

Anne, 30~39 year old female. Ask Date: 2013/03/07

Dr. Yang Zhichao reply Gastroenterology and Hepatology


Hello Anne,
1.
Is the removal of polyps via gastroscopy and colonoscopy considered a minor procedure? Strictly speaking, polyp removal is not classified as surgery, but insurance categorizes it as a surgical procedure.
As for defining it as major or minor, I would say it is a minor procedure.

2.
If it is considered a minor procedure, can the diagnosis certificate be modified?
3.
Do I need to consult the attending physician to modify the diagnosis certificate?
4.
Can an authorized representative go to the outpatient clinic to modify the diagnosis certificate? The diagnosis certificate is issued by the physician, and any content that needs to be corrected must be discussed with the attending physician to determine its appropriateness.
If you wish to have an authorized representative, a letter of authorization is required.

Changhua Hospital cares about your health.
Dr.
Yang Zhichao.

Reply Date: 2013/03/07

More Info


Polyp removal via endoscopy, whether through gastroscopy or colonoscopy, is generally considered a minor surgical procedure. This classification stems from the fact that these procedures are minimally invasive and typically performed on an outpatient basis, allowing patients to return home shortly after the procedure.
1. Is Polyp Removal Considered a Minor Surgery?
Yes, the removal of polyps during gastroscopy or colonoscopy is classified as a minor surgical procedure. These procedures involve the use of a flexible tube with a camera (endoscope) to visualize the gastrointestinal tract. When polyps are identified, they can be removed using specialized tools that are passed through the endoscope. The risks associated with these procedures are relatively low, and complications, while possible, are infrequent. Common risks include bleeding or perforation of the gastrointestinal tract, but these are rare when performed by experienced gastroenterologists.
2. Can the Diagnosis Be Modified?
If the procedure is classified as a minor surgery, it may be possible to modify the diagnosis on the medical record or insurance documentation. However, any changes to the diagnosis must accurately reflect the patient's condition and the findings from the procedure. It is essential to ensure that the medical records are consistent with the clinical findings and the procedures performed.
3. Do I Need to Consult the Attending Physician for Modifications?
Yes, any modifications to the diagnosis should be discussed with the attending physician. The physician is responsible for the accuracy of the medical records and can provide the necessary documentation to support any changes. They can also clarify the rationale behind the diagnosis and ensure that it aligns with the clinical findings and the procedure performed.
4. Can an Authorized Representative Modify the Diagnosis?
An authorized representative can assist in the process of modifying the diagnosis, but they will typically need to work closely with the attending physician. The representative may need to provide consent or authorization from the patient to discuss medical records or request changes. It is advisable for the patient to be involved in this process to ensure that their wishes are accurately represented.

In summary, polyp removal via endoscopy is considered a minor surgical procedure due to its minimally invasive nature and low complication rates. Any modifications to the diagnosis should be made in consultation with the attending physician to ensure accuracy and compliance with medical standards. An authorized representative can assist in this process, but the patient's involvement is crucial for clarity and consent.
It is also worth noting that the classification of procedures and the implications for insurance coverage can vary by policy and provider. Therefore, it is advisable to check with the insurance company regarding coverage for these procedures and any specific requirements they may have for documentation.

Similar Q&A

Understanding Small Polyps: What You Need to Know About Your Health

Hello Doctor: I previously underwent a lower gastrointestinal imaging examination, and the report indicated the presence of a small polyp and diverticula. When I asked the doctor what to do, they said not to worry for now. However, I am concerned about what I should do next. Can ...


Dr. Ke Fangxu reply Surgery
Hello, in response to your question, this pertains to the issue of lower gastrointestinal imaging. When polyps are discovered, they cannot be addressed during the imaging and a repeat colonoscopy is necessary. However, there are differing opinions on whether small colorectal poly...

[Read More] Understanding Small Polyps: What You Need to Know About Your Health


Understanding Surgical Options for Colon Polyps: Resection vs. Electrocautery

During a health check-up, occult blood was detected, leading to a colonoscopy at Minsheng Hospital. A polyp measuring three to five centimeters was found in the colon. I saw it on the screen; it had an elongated shape, matched the color of the intestine, and showed no signs of in...


Dr. Ke Fangxu reply Surgery
Colon polyps are generally removed directly unless they are difficult to excise or there is suspicion of malignancy, in which case a biopsy may be performed before considering the next steps. If the polyp is benign, surgery is typically not recommended, and efforts will be made t...

[Read More] Understanding Surgical Options for Colon Polyps: Resection vs. Electrocautery


Understanding Appendiceal Polyps: When Surgery is Necessary

Hello, Doctor. I recently underwent a routine colonoscopy, and a tubular adenoma measuring 0.8 to 1.0 cm was found at the cecal-appendiceal junction. Due to its location, it could not be removed directly with the endoscope. During my follow-up appointment today, the doctor recomm...


Dr. Chen Qifeng reply Gastroenterology and Hepatology
Surgery on the colon typically involves either resection of the right half or the left half of the colon; if considered as tumor surgery, it is necessary to remove half of the colon.

[Read More] Understanding Appendiceal Polyps: When Surgery is Necessary


Concerns About Persistent Minor Bleeding Two Months Post-Colonoscopy

Hello Doctor: My father underwent polyp removal surgery in February of this year, during which three polyps were excised. The surgeon indicated that the pathology report showed one of the polyps was an adenoma, with both villous and tubular components present. The other two polyp...


Dr. Chen Qifeng reply Gastroenterology and Hepatology
It is recommended to consult a gastroenterologist or a colorectal surgeon to further determine the cause and location of the current bleeding.

[Read More] Concerns About Persistent Minor Bleeding Two Months Post-Colonoscopy


Related FAQ

Polyps

(Gastroenterology and Hepatology)

Gallbladder Removal

(Gastroenterology and Hepatology)

Polyps

(Surgery)

Anal Polyp

(Surgery)

Gastroscopy

(Gastroenterology and Hepatology)

Gastric Ptosis

(Gastroenterology and Hepatology)

Rectal Foreign Body

(Gastroenterology and Hepatology)

Colonoscopy

(Surgery)

Gastrointestinal

(Surgery)

Hemorrhoids

(Gastroenterology and Hepatology)