tci General Surgery Coding Alert - 2019 Issue Q4

You Be the Coder: Measure Lesion and Excision For Proper Coding

Question: The surgeon “creates an elliptical excision 7 cm long surrounding a 2.0 x 1.5 x 0.5 cm lesion with 1 cm margins on the scalp,” according to the op report. After removing the lesion, the surgeon closes the site with “layered closure.” How should we report the surgeon’s work? Nebraska Subscriber Answer: You should code the case as 11624 (Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 3.1 to 4.0 cm) and 12032 (Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands...

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