Results 1 to 3 of 3

Lesions and layers closures

  1. Default Lesions and layers closures
    Exam Training Packages
    When the doctor removes a lesion and he states that he has done a layered closure should the doctor be giving you the length of the incision. We have only ever used the length of the lesion as a guideline, but when I think about it they may be doing a wider incision, especially for cancerous lesions. Do most doctors state the length of the incision when they remove lesions.



  2. #2
    Columbia, MO
    They should give you the excision size and the closure size, or they can give the lesion size and the margin size. The code for the lesion is based on the excised diameter not the lesion and you are correct in then the repair is based on the size of the defect created.

  3. #3
    Milwaukee WI
    Default Two measurements
    First you need the size of the lesion and margin to code the excision.

    Then you need the size of the wound created to code the closure.

    But you ask Do most doctors state the length of the incision when they remove lesions. ... Not in my experience.

    Despite gentle reminders, not so gentle reminders, and downright nagging ... Many times the documentation leaves me no choice but to code the closure based on the lesion size (plus margin).

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

Similar Threads

  1. Layered Closures
    By brandi.stvns in forum Dermatology
    Replies: 2
    Last Post: 05-02-2013, 10:54 AM
  2. question on closures
    By BABS37 in forum Dermatology
    Replies: 2
    Last Post: 06-20-2012, 01:24 PM
  3. Help Coding Excision Lesions with Layered closures
    By Hopp in forum General Surgery
    Replies: 3
    Last Post: 10-12-2009, 11:36 AM
  4. diagnosis for Mohs closures
    By docndent in forum Plastic Surgery
    Replies: 2
    Last Post: 09-02-2009, 12:02 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?


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.