tci ED Coding & Reimbursement Alert - 2007 Issue 10

You Be the Coder: 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 SubscriberAnswer: 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 lesion's exact size. Per CPT, code selection is determined by measuring the greatest clinical diameter of the apparent lesion plus that margin required for...

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