20160430 - Save up to 35% on Everything You Need to Get Certified | Learn More

Results 1 to 4 of 4

Thread: calculating lesion measurements

  1. #1
    Join Date
    Apr 2007
    Posts
    17

    Default calculating lesion measurements

    I need to know the correct way to calculate the measurement of lesion removal. I get path reports measurements 4x4x3mm. I not sure I'm calculating it correctly. The total I would come up with 48mm which convert to 4.8cm. Am I calculating the measurements correctly? I work for a billing company this is for a family practice and the dr doesn't give me any measurement, all I have to go by is the path report.
    Thanks,
    Amy

  2. #2
    Join Date
    Apr 2007
    Location
    Stuart
    Posts
    322

    Default

    I going to refer you to The Coding Edge of May 2009 that just came up. There is an article about 'When Measuring Skin Lesions' that I think you will find very helpful.
    nORaM

  3. #3
    Join Date
    Apr 2007
    Location
    Milwaukee WI
    Posts
    4,453

    Default Measure at widest part plus margin

    Lesions should be measured BEFORE they are excised. Okay ... your surgeon isn't doing that, so you can only go by path.

    You take the widest measurement ... If the SAMPLE is 4x4x3mm you have a measurement at its widest which already includes the margins of 4mm.

    If the LESION measures 4x4x3mm you have a lesion at its widest of 4mm plus minimal allowable margin, let's say 1mm per side or a total of 2 mm for a grand total of 6 mm.

    Tissue shrinks after it is excised and before the pathologist measures it. Your surgeon is leaving money on the table by not providing you with the measurements in advance of removal.

    ALSO, if repairing the surgical wound requires intermediate or complex closure, this is coded separately and the length of the repair needs to be separately documented.

    So, ideally you'd have something like: Lesion measured 4x4mm with 1mm margins. Length of incision 2cm.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

  4. #4

    Default

    Tessa is very correct. You should never take your measurements from the path report. The tissue shrinks. If your physician had to submit documentation for that excision it would be incomplete documentation. He or she must document the size of the lesion.

Similar Threads

  1. Calculating Zplasty
    By aprilsue in forum Dermatology
    Replies: 1
    Last Post: 09-22-2014, 09:12 AM
  2. How to total wound measurements
    By jwenger13 in forum General Surgery
    Replies: 1
    Last Post: 08-08-2013, 10:21 AM
  3. nuchal translucency measurements
    By KATHYCARR in forum Interventional Radiology
    Replies: 1
    Last Post: 05-07-2012, 09:33 AM
  4. Manometric Pressure Measurements
    By mmelcam in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 06-19-2008, 08:47 AM
  5. BMI index measurements
    By KimmieG in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 04-19-2007, 05:22 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.