tci General Surgery Coding Alert - 2020 Issue Q1

Reader Question: Avoid Elliptical Measure for Lesion Excision

Question: Last month you answered a reader question about coding malignant lesion excisions [Measure Lesion and Excision For Proper Coding, General Surgery Coding Alert, Vol. 21, No. 12], but I have a follow-up question. If the surgeon uses a large elliptical excision for a malignant lesion, should we count that dimension as the margin when determining size for the excision code selection? Tennessee Subscriber Answer: No, you should not use the measure of an elliptical margin to select the appropriate malignant lesion excision code. Do this: You should use the narrowest margin times two in addition to the lesion...

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