Medicare Compliance & Reimbursement - 2015 Issue 11
Reader Question: Measure Twice, Cut Once With Lesion Excision Sites
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Article Overview
This reader question addresses how lesion excision size is determined for coding when a benign lesion is removed in the ED. It is aimed at coding professionals, billers, and clinicians who document or report minor procedure services, and it discusses general measurement concepts, claim reporting considerations, and the role of pathology in documenting the excision area.
Why This Topic Matters
Accurate lesion measurement affects code selection and claim reporting for excision services. The article helps readers understand the documentation focus needed before pathology processing alters the specimen.
What You Will Learn
- How lesion excision size is discussed for coding purposes
- Why excision-area documentation matters before pathology processing
- How a benign lesion excision scenario is framed in an ED setting
- What general CPT-based measurement concepts are involved in lesion excision reporting
Who Should Read This
- Medical coders
- Billing staff
- Emergency department clinicians
- Clinical documentation specialists
Codes Discussed
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