tci Part B Insider - 2007 Issue 20

READER QUESTION: Cut Out The Guesswork In Lesion Excision Coding

Ask your physician to specify the margin excisedQuestion: We-re confused about how to figure out the margin size when the physician excises lesions. Usually, the physician will give us the size of the lesion itself, or else no measurement at all. The physician sometimes includes a note that says something like: -2 cm x 1.5 cm x 0.5 cm.- And sometimes, we get measurements from the pathology report. How do we figure out what measurement to use as the lesion, and which measurement to use as the margin? Is there a general rule? New Jersey...

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