tci General Surgery Coding Alert - 2024 Issue Q1

You Be the Coder: Rely on Lesion Diameter Measurement

Question: A 27-year-old patient who is 40 weeks pregnant presented to the provider to excise a lesion from the patient’s nose with an excised diameter of 2.0 cm. They intend to do an adjacent tissue transfer (ATT) for minimal scarring but wait for the pathology report to determine if the lesion is malignant and to ensure clear margins. With a pathologic diagnosis of basal cell carcinoma (BCC), margins clear, the general surgeon performed the ATT four days later. How should this be coded? Minnesota Subscriber Answer: You should code the initial procedure using 11642 (Excision, malignant lesion...

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