THe measurement of the lesion is always done BEFORE surgery.
The lesion is measured at its widest diameter plus minimal allowed margin. The size of the sample may be larger due to the size of incision required. Look at CPT 2009 Professional Edition, pate 54, top diagram. You'll see a long eliptical incision, which is much larger than the official lesion measurment. The entire sample will be sent to pathology, who will record a much larger sample size than the size of the lesion.
Hope that makes sense.
F Tessa Bartels, CPC, CEMC
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