tci ED Coding & Reimbursement Alert - 2007 Issue 4

On Excision Claims, Measure Lesion Size Before Pathologist Sees It

Pathology procedures will shrink lesion and your ED's reimbursementWhen patients with lesions report to your ED for treatment, you-ll need to answer several questions to submit a spot-on claim. To properly report lesion removals, coders need to know the lesion type, the body area, and the exact measurement of the excised area. Getting just one of these wrong can result in a miscoded claim, and a denial.Follow this expert advice to choosing the proper lesion excision code for each encounter.Determine Lesion Type FirstOn your lesion excision claims, you should know whether the physician removed a benign or...

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