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#1
09-29-2009, 10:25 AM
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Re-excision measurement help!
Hello everyone,
I a have a provider that did a re-excision of a malignant melanoma. The lesion from the prior removal obviously was taken out, however, how does the surgeon determine the size of re-excision without a lesion? I was told my a seperate surgeon that you go by the greatest clinical diameter of the original excision without margins is that correct? I am leaving my current position as a coder for dermatology and would like to help this provider before I leave this Wednesday. THANKS TO ALL!!!! dscoder74 
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#2
09-29-2009, 10:43 AM
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The excised diameter is the size you go with the largest excised diameter, so that is the scar plus the margins of the reexcision.
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Debra A. Mitchell, MSPH, CPC-H 
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