AAPC - Back to school
Results 1 to 3 of 3

Thread: Excision Malignant Lesions

  1. #1
    Join Date
    Apr 2007
    Elkins, WV

    Default Excision Malignant Lesions

    AAPC: Back to School
    I am really new at this and have a question about excision of malignant lesions. The doctor has noted that she will be doing a wide local excision of the right cheek and right nasal ala with possible rotation flap closure. I don't see any measurements given althought earlier in September, 2010, she has noted that she shaved each of these arease and sent for path. The shave on the right cheek was 1.5 cm excision and the nasal ala was 0.5 cm. Since I don't have measurements on this new excision to be done, would I code range of codes 11640-ll646-RT and 11640-11646-RT-59? I have to code before sending to the hospital. Is the rotation flap (possible) closure bundled in with the code for the excision of rt. nasal ala? Or is this a separate code?

  2. #2
    Join Date
    Apr 2007
    Columbia, MO


    You obviosuly cannot code the exact code without the op note. For the excision you have the correct code range, however do not append the RT modifier as this is skin which is one organ without laterality. Also if a flap clousure is performed then you code only the flap closure as the excision is inclusive to the flap closure.

    Debra A. Mitchell, MSPH, CPC-H

  3. #3
    Join Date
    Apr 2007
    Elkins, WV

    Default Excision of Malignant Lesions

    Thanks for your help.

Similar Threads

  1. Replies: 2
    Last Post: 10-04-2014, 12:12 AM
  2. Destructions of Malignant Lesions
    By Wendy Miller in forum Dermatology
    Replies: 9
    Last Post: 10-23-2013, 03:12 PM
  3. Destruction, malignant lesions
    By medicalcoder519@yahoo.com in forum Dermatology
    Replies: 1
    Last Post: 10-06-2011, 12:05 PM
  4. Excision of benign and malignant lesions
    By Trendale in forum General Surgery
    Replies: 1
    Last Post: 06-17-2008, 03:18 PM
  5. Excision lesions benign/malignant
    By Hopp in forum General Surgery
    Replies: 4
    Last Post: 04-12-2008, 12:10 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.