tci Outpatient Facility Coding Alert - 2013 Issue 11

Dermatology: Don't Fall for the DSAP Diagnosis Trap When Coding Porokeratotic Lesion Excision

Know that misdiagnosis can be common up front. Your surgeon treats a patient with a fairly large, circular keratotic lesion on a patient’s right ankle. That sounds like a simple enough case, but read on to see what trials await you as you zero in on the proper diagnosis and procedure codes. Focus on Diagnosis The patient presents with a 0.9 cm lesion on the right ankle that appears hyperkeratotic. Suspecting a wart (078.1, Viral warts) or actinic keratosis (702.0, Actinic keratosis), the surgeon treats the lesion. The patient returns three months later because the...

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