If a provider documents approximate sizes, do we default to the lower size/code? For example, a provider documented an excision with the "specimen size was approximately 4 to 5cm by 1cm" and chose code 11426. I'll be asking him if he actually meant lesion size since the incision size was 6-7cm. If the lesion size is 4-5cm, do I have to default to the lowest size (11424) or can I code the 11426?
Thanks for the help!
Sue
Thanks for the help!
Sue