Results 1 to 2 of 2

Thread: malignan/benign lesion removal

  1. #1
    Join Date
    Apr 2007
    Location
    Bentonville, Arkansas
    Posts
    55

    Question malignan/benign lesion removal

    Promo: Code Books
    A doctor excises a skin lesion which the pathology determines is malignant and close to the borders. He brings the patient back in for a wider excision to be sure the malignancy is completely removed. The path report of the second excision comes back completely benign. Do you code a malignant neoplasm removal or a benign on the second surgery?

  2. #2
    Join Date
    Apr 2007
    Location
    Columbia, MO
    Posts
    12,168

    Default

    Malignant is the dx for the second excision. The path is reading the margins as benign to tell the physician that no further excision is necessary. But the Medical necessity is that we needed to perform the excision due to a malignant pathology.

    Debra A. Mitchell, MSPH, CPC-H

Similar Threads

  1. Benign Lesion excision
    By god4me in forum Dermatology
    Replies: 3
    Last Post: 08-13-2015, 11:51 AM
  2. Excision of benign lesion - Need help
    By jemimah crescentia in forum General Surgery
    Replies: 7
    Last Post: 03-29-2015, 06:13 AM
  3. Destruction malignan lesion measurement
    By jawarford in forum Dermatology
    Replies: 0
    Last Post: 04-26-2011, 10:37 AM
  4. 19301-Benign Lesion
    By Williealawishes in forum General Surgery
    Replies: 0
    Last Post: 12-29-2010, 01:35 PM
  5. Medicare Policy For Benign Lesion Removal
    By CHRISTIE THOMAS in forum Dermatology
    Replies: 3
    Last Post: 05-02-2008, 10:02 AM

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.