Medicare Compliance & Reimbursement - 2014 Issue 8
You Be the Coder: Measuring Lesion Excision Sites
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Article Overview
This coding Q&A discusses lesion excision measurement concepts used in physician services documentation, with emphasis on how excision size is determined for claim reporting and when the measurement should be recorded in the workflow. It is relevant to ED and surgical coders, auditors, and clinicians who document lesion removal procedures, and it references CPT and ICD-9-CM in the context of an example involving benign lesion excision.
Why This Topic Matters
Accurate measurement and documentation of lesion excision size can affect code selection and claim accuracy for minor procedures. The article helps readers understand the general documentation focus for lesion excision reporting and why the timing of measurement matters in relation to specimen processing.
Article Sections
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Question
Introduces the coding question about measuring lesion excision size and when to document the excision area in relation to pathology.
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Answer
Explains the general approach to lesion excision measurement for coding and discusses documentation timing before pathology processing.
What You Will Learn
- The general concept used to determine lesion excision size for coding purposes
- How documentation timing relates to lesion measurement and pathology handling
- The types of coding references commonly associated with benign lesion excision reporting
- How procedure and diagnosis information may be paired in a claim example
Who Should Read This
- Medical coders
- ED coders
- Physician documentation staff
- Compliance and auditing professionals
- Clinicians who document minor procedures
Codes Discussed
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