tci General Surgery Coding Alert - 2021 Issue Q3

Integumentary Case: Distinguish Skin Biopsy Vs. Excision Based on Intent

Choose procedure code with pathology report in hand. Integumentary procedures hold lots of snares for coders — from procedures codes to diagnosis codes to modifiers — and mistakes in these cases could cost your surgical practice significant pay. Let our experts guide you through coding a single skin excision case to help you avoid the pitfalls and master some rules for the future. Case: Patient presents with 0.8 cm x 1.0 cm forehead lesion described as “actinic keratosis” in the op report. The surgeon sharply divides the skin through the dermis to remove the lesion and...

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