tci General Surgery Coding Alert - 2017 Issue 7

Reader Question: Hone Your Lesion Shaving vs. Excision Skills

Question: When we bill for a shaving or excision of skin lesion, we’re uncertain how we should calculate the lesion size. Do we consider only the size of the lesion removed, or should we also count the amount of normal tissue margin? Tennessee Subscriber Answer: The short answer is that you do not consider the margin when you code a lesion shave, but you do consider the margin when you code a lesion excision. To help you know the difference based on the op note, remember that shaving does not typically include sutures or invade lower levels of...

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