decisionhealth Newsletters, Answer Books - 2011 Issue 12 (December)
Lesions / Malignant lesion destruction measurement
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Article Overview
This article examines CPT guidance and interpretation issues related to measuring malignant lesion destruction. It is aimed at coders and billing professionals who need to understand how lesion size, anatomic location, and related CPT guidance affect code selection for destruction procedures. The article also places the topic in the broader context of lesion excision and destruction coding.
Why This Topic Matters
Accurate measurement affects code selection for lesion destruction procedures and helps avoid inconsistent reporting across lesion sites and size categories.
Article Sections
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Measurement question for malignant lesion destruction
Introduces the core issue of how lesion diameter is measured for malignant lesion destruction reporting and notes that CPT does not provide definitive measurement guidance.
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Related lesion excision guidance
Summarizes guidance from the lesion excision section that is referenced as part of the measurement discussion and compares how excision is described in CPT guidance.
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CPT Assistant and destruction coding categories
Discusses CPT Assistant commentary and the general organization of destruction reporting by anatomic location and lesion size.
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CPT’s malignant lesion destruction codes
Presents the size-and-location framework used for malignant lesion destruction reporting, along with the code groups associated with those categories.
What You Will Learn
- The general issue involved in measuring malignant lesion destruction for CPT reporting
- How lesion excision guidance is referenced in the measurement discussion
- How CPT organizes destruction reporting by lesion size and anatomic location
- Which code groups are associated with malignant lesion destruction reporting
Who Should Read This
- Medical coders
- Coding auditors
- Revenue cycle staff
- Billing professionals
- Dermatology billing specialists
Codes Discussed
Code Ranges Discussed
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