tci General Surgery Coding Alert - 2005 Issue 2

Reader Questions: Lesion Excision Often Bundles Repair Codes

Question: I'm confused about the rules for coding wound repair with lesion removal. What codes should I report if the surgeon removes four lesions from the patient's right leg?. The sizes are 0.5 cm, benign with complex repair; 0.5 cm, malignant with complex repair; 1.5 cm, benign with simple repair; and 2.0 cm, benign with complex repair.Illinois Subscriber Answer: In many cases, lesion excision will include closure, depending on the level of repair required.Excision codes 11400-11446 (benign) and 11600-11646 (malignant) describe full-thickness (that is, through-the-dermis) lesion removal with margins and include simple (non-layered)...

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