tci ED Coding & Reimbursement Alert - 2018 Issue 1

Reader Question: Calculate Lesion Sizes With Accuracy

Question: Our ED physician removed a benign lesion and isn't sure how to calculate the excision size? Also, when should we measure the excision area - before or after the lesion goes to pathology? Supercoder.com Subscriber Answer: When calculating lesion excision size for coding purposes, the physician should measure the total excised diameter. How?  First, find out the exact size of the lesion. Per CPT®, code selection is determined by measuring the greatest clinical diameter of the apparent lesion plus that margin required for complete excision. In other words, excision diameter + the narrowest margins required =...

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