tci ED Coding & Reimbursement Alert - 2015 Issue 11

Reader Question: Measure Twice, Cut Once With Lesion Excision Sites

Question: When the ED physician removes a benign lesion, how should I measure the excision size (the diameter of the wound)? Also, when should we measure the excision area — before or after the lesion goes to pathology? Missouri Subscriber Answer: When calculating lesion excision size for coding purposes, you’re selling yourself short if you just measure the lesion: for optimal return on your coding, report the total excised diameter on the claim. First, find out the exact size of the lesion. According to CPT®, code selection is determined by measuring the greatest clinical diameter of the apparent...

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