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.
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