Procedure: The patient is a 45-vear-old male

Procedure: The patient is a 45-vear-old male. After informed consent was obtained and history and physical examination performed, the patient was placed in the left lateral decubitus position. While being continuously monitored for heart rate, blood pressure, cardiac rhythm, and oxygen saturation, conscious intravenous sedation was established using intravenous Fentanyl and Versed. A digital rectal examination was unremarkable. A trained independent observer assisted in monitoring the patient The procedure lasted 25 minutes from the time the sedation was administered 10 W The Olympus video colonoscope was inserted into the rectum which revealed interna hemorrhoids. The colonoscope was then advanced through the sigmoid and left colon which revealed scattered diverticulosis. A diminutive 6- to 8-mm polyp was noted 20 cm from the anal verge and was removed using standard hot biopsy technique. The colonoscope was then advanced to the cecum, identified by the ileocecal valve and appendiceal opening. The colonoscope was advanced through the appendiceal opening and into the small bowel which was unremarkable to eb Vebo inshe oVO 3tuc Tol The colonoscope was then withdrawn carefully inspecting the walls for mucosal hein abnormalities. Once back in the rectum retroflexion revealed internal hemorrhoids ne i i The colonoscope was straightened and withdrawn. The patient tolerated the procedure Tarlor well. There were no complications. She was sent to the Recovery Room in stable condition. lan4 ,eslid vollsme 1. The patient will remain on a high fiber diet. DOG 2. Will await histology of the benign appearing sigmoid polyp 3. Schedule the patient for surveillance colonoscopy in 36 months. Assign the correct codes for this outpatient encounter Plan: ICD-10-CM and CPT Code(s):