tci ED Coding & Reimbursement Alert - 2011 Issue 7

Reader Question: Consider Malignancy Status When Choosing Excision Code

Question: A patient presents to the ED with several lesions on his upper body. The physician excises all the lesions with simple closures. The pathology report reveals the facial lesions are malignant and the neck and chest lesions are benign. The lesions, with margins, of the face measure 2.5 cm. The lesion on the neck measures 0.8 cm. and the lesions on the chest measure 3.2 cm. How many lesion repair codes should I report for this encounter?Minnesota SubscriberAnswer: You will report three lesion removal codes for your physician's services. On the claim, report the...

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