tci ED Coding & Reimbursement Alert - 2005 Issue 2

Reader Questions: Wait for Report to Describe Cyst

Question: A patient with a growth on the side of his face presented in the ED. The physician stated that the lump appeared to be an inclusion cyst. Under local anesthetic, the physician made an incision. Nothing was drained, but the documentation said the appearance is "fish-meat-like," and the doctor performed a wide excision. She then removed the growth, and sent it to pathology to rule out basal cell carcinoma. The preliminary results: keratoacanthoma. Which CPT code should I report?New Jersey Subscriber Answer: The first issue you need to resolve is whether the lesion is benign or...

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