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Wiki Skin Lesion

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easumma

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White Rock, NM
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A skin lesion is removed from a patient's cheek in the office. The dr. documents Kin Lesion in the chart. Prior to billing, the pathology returns basal cell carcinoma. What do I code?

Skin Lesion or

basal cell carcinoma
 
'skin lesion' would be your pre-procedure dx and the "basal cell carcinoma" is your post-procedure dx. Primary dx is "basal cell carcinoma".

Hope this helps. :)
 
You should be holding your billing until the pathology report comes back. Skin Lesion is the working diagnosis and BCC is the definitive diagnosis. Per ICD rules you use the definitive DX.
 
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