tci General Surgery Coding Alert - 2014 Issue 7

Reader Question: Code This Skin Re-Excision Scenario

Question: Our surgeon removed a malignant skin lesion, which we reported with 11600. The patient returned a week later for the same area to be excised larger because the margins weren’t clear. Is there different code I should use for a skin re-excision, or is it appropriate to use 11600 again? New York Subscriber Answer: Regardless of whether a skin excision is the initial procedure or a repeat excision, you should code a malignant lesion according to the size and margin noted in the medical record.  If the dimensions fit, you should use 11600 (Excision, malignant lesion...

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