sweetybird0472
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Hello all, I'm excited to be a part of such a big and diverse group of people!
My coding scenario is as follows:
Patient had 3 melanoma lesions removed. 1 face & 1 neck, both about 2 cm in length plus a 2 cm margin. They were removed and placed in fixation for biopsy in separate specimen containers labeled accordingly. Lesion on arm was 4 cm plus a 3 cm margin also removed and placed in fixation and labeled as well. Patient was instructed how to care for the wounds and has a follow up to get biopsy results in about a week.
According to my text and I also agree that the correct excision codes are:
11606 for the arm lesion
11624-59 for the neck
11644-59 for the face
Now, for the closure since nothing is stated in the procedure description how do I know if it is simple, intermediate, or complex?
I'm asking because as presented, I thought it would be a simple closure and included in the excision codes. There is nothing mentioned at all about it and nothing saying anything about it being layered.
My textbook is saying that they are intermediate closures. What I want to know is how would a person know that without documentation?
Kind regards,
Christy
My coding scenario is as follows:
Patient had 3 melanoma lesions removed. 1 face & 1 neck, both about 2 cm in length plus a 2 cm margin. They were removed and placed in fixation for biopsy in separate specimen containers labeled accordingly. Lesion on arm was 4 cm plus a 3 cm margin also removed and placed in fixation and labeled as well. Patient was instructed how to care for the wounds and has a follow up to get biopsy results in about a week.
According to my text and I also agree that the correct excision codes are:
11606 for the arm lesion
11624-59 for the neck
11644-59 for the face
Now, for the closure since nothing is stated in the procedure description how do I know if it is simple, intermediate, or complex?
I'm asking because as presented, I thought it would be a simple closure and included in the excision codes. There is nothing mentioned at all about it and nothing saying anything about it being layered.
My textbook is saying that they are intermediate closures. What I want to know is how would a person know that without documentation?
Kind regards,
Christy