tci ED Coding & Reimbursement Alert - 2009 Issue 11

READER QUESTIONS: Pay Attention to Area on Shaving Claims

Question: A patient reports to the ED with a dermal lesion. Using a scalpel, the ED physician horizontally slices the lesion off (total excision area was 2.6 cm). Is this an excision or shaving? Arkansas Subscriber Answer: This is a shaving, but you're missing one important component -- body area, as your code choice depends on it. Go back and check the notes to determine where the dermal lesion was. Then choose one of the following: • 11303 -- Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter over 2.0 cm &bull...

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