tci ED Coding & Reimbursement Alert - 2013 Issue 9

You Be the Coder: There is No Margin For Error When Measuring Lesion Excision Sites

Question: When the ED physician removes a benign lesion, how should I measure the excision size (the diameter of the wound)? Also, when should we measure the excision area — before or after the lesion goes to pathology? Montana Subscriber Answer: When calculating lesion excision size for coding purposes, you’re selling yourself short if you just measure the lesion: for optimal return on your coding, report the total excised diameter on the claim. How? First, find out the exact size of the lesion. Per CPT® code selection is determined by measuring the greatest clinical diameter of the apparent...

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