tci General Surgery Coding Alert - 2001 Issue 1

Reader Question: Complications Treated in Office

Question: Our physician performed split-thickness skin graft with excision of large skin cancer on lower extremity on a Medicare outpatient. That afternoon, the patient came to our office with a hemorrhage. In the office, we removed the graft to evaluate a hematoma and sutured a small bleeding artery. How should I code this?Delaware Subscriber Answer: Both of the original procedures 1160x (excision, malignant lesion, trunk, arms or legs [5th digit depends on size of lesion before excision]) and 15100 (split graft, trunk, arms, legs, first 100 sq. cm. or less, or one percent of body area of infants...

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