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tci General Surgery Coding Alert - 2003 Issue 2
You Be the Coder: Categorize Uncertain Lesions as Benign
Test your coding knowledge. Determine how you would code this situation before looking at the box below for the answer.
Question: Our surgeon removed a lesion, but the pathologist is unable to determine if it is malignant or benign and has recommended a wide excision, "just to be safe." How should I categorize the lesion?
Georgia Subscriber
Answer: If the status of the lesion is uncertain, use the code for excision of benign lesion (114xx) and include a diagnosis "of uncertain behavior." Report the wide excision using 114xx and append modifier -58 (Staged or related procedure...
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