Missing size for lesion excision

beausolb

Contributor
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I am reviewing old services, 2004 - 2005, some do not have the excision size documented, can I use the pathology report sizes where the "gross description of specimens received" are noted?

Thank you in advance for your help!
 

magnolia1

Expert
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Albany, New York
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That is exactly what I do.
If it is noted on the OP report, I use measurement indicated on Path report.
I definitely think that this is an area where surgeons need a refresher on documetation/ dictation.
 
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