Wiki Measurements for Lesion Excision

[clbarry8033]

I might be overthinking this, but if a doctor says that a lesion is .5cm in size, and that is was excised using a 1cm elliptical excision, what would you use for the total excised diameter for CPT selection?

Does this indicate the margins were .25cm?

Thanks!

 

[CodingKing]

.25 - .5 - .25 so total of 1cm for purposes of selecting the code

 

[clbarry8033]

Thank you very much!

 

[KBean2018]

Wide excision melanoma site left cheek

I am new to skin lesions. How do I calculate the skin lesion if its stated as :

The primary site is removed with 1 cm measured margins, 2.2 x 4.5 cm.

I know its in the 11640-11646 range

Help is much appreciated

 

[CodingKing]

I am new to skin lesions. How do I calculate the skin lesion if its stated as :

The primary site is removed with 1 cm measured margins, 2.2 x 4.5 cm.

I know its in the 11640-11646 range

Help is much appreciated

The way the note is written 2.2 x 4.5 cm includes the 1cm margins. So 4.5cm is the measurement

 

[KBean2018]

Ok. That makes sense. Thank you so much for your help!

 

[ellzeycoding]

Excisions are coded based on the widest dimension including margins.

 

[KBean2018]

11400x Codes and Size

Trying to figure which code to use for size. 11400x series

Right Areola Nevus skin lesion-- 1.1 x 0.5 x 0.2 cm Benign.

Sternum skin lesion---1.3x 0.7 x 0.3 cm Benign

Thanks in advance for the help!