tci General Surgery Coding Alert - 2011 Issue 9

Reader Question: 238.2: Code Original Excision Dx

Question: A patient comes in for a re-excision of a dysplastic nevus. Do I bill the re-excision using a benign or malignant ICD-9?Colorado SubscriberAnswer: First, check the pathology report from the original biopsy and make sure it states "dysplastic nevus." If the biopsy showed a dysplastic lesion, then the diagnosis is benign, and you should report the diagnosis as 238.2 (Neoplasm of uncertain behavior of skin).With that diagnosis, you should code the re-excision using a code from the series 11400-11446 (Excision, benign lesion ...) based on lesion's site and size.Important: If you have a...

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