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Help! Measuring lesions

  1. #1
    Default Help! Measuring lesions
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    Having a huge brain cramp! 3X2 cm back nodule with layered closure (no margins given); and a 4X2 cm elliptical incision for a 1.5X1 cm groin nevus with 5 mm margins. I'm "cramping" on the diameter of the lesions and determining the CPT codes...

  2. #2
    Milwaukee WI
    Default Here are measurements
    3X2 cm back nodule with layered closure (no margins given) = 3 cm lesion ALSO 3 cm wound for layered closure (can't say it's bigger because you have no measurements for the wound)

    4X2 cm elliptical incision = 4 cm length for wound repair (if it's a layered closure)

    1.5X1 cm groin nevus with 5 mm margins = lesion size of 2.5 cm (1.5 cm + .5 cm margin + .5 cm margin)

    Each lesion is coded separately. But the repairs are added together if they are the same type closure and on the same body area.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

  3. #3
    Thanks so much!

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