E/M Coding Alert - 2012 Issue 45
Reader Question: Add Sizes or Lesions?
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Article Overview
This reader Q&A explains a common misconception about reporting multiple lesion excisions and clarifies the general documentation and measurement concepts involved. It is relevant to surgical coders, auditors, and clinicians who document excision procedures, especially when distinguishing lesion excision reporting from other repair scenarios. The article also references CPT guidance and discusses general payer-related reporting considerations.
Why This Topic Matters
Accurate lesion excision reporting depends on understanding how procedures are documented and counted, which affects code selection and claim submission. The article helps readers recognize the difference between measuring a lesion excision and combining measurements from separate procedures.
Article Sections
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Question and Answer
Introduces the coding question and provides a direct response about reporting multiple lesion excisions.
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Source of confusion
Explains the broader comparison being made with another type of procedure and why the reporting approaches differ.
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Measure carefully
Summarizes the documentation and measurement concepts that support proper code selection for lesion excision reporting.
What You Will Learn
- How the article frames reporting for multiple lesion excisions
- Why lesion excision measurement is discussed in relation to margins and documentation
- How the article contrasts lesion excision reporting with another common procedure type
- Why careful operative measurement is important for code selection
Who Should Read This
- Medical coders
- Coding auditors
- Surgeons
- Clinical documentation staff
- Billing staff
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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