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Thread: Suspicious mole

  1. #1
    Join Date
    Apr 2007
    Wilmington, NC

    Default Suspicious mole

    AAPC: Back to School
    Dermatologist dictates the following:

    ______ is in today for evaluation of spots on his skin. He is worried
    about the possibility of malignancy. He is with his wife today. He is
    particularly concerned about a spot on his left flank where he has a single
    waxy, brown, stuck-on papule which is a benign seborrheic keratosis. He
    has dozens of similar lesions on his torso, all of which are benign and
    require no intervention. I have found no other areas of frank malignant or
    premalignant change on the face, scalp, neck, chest, back, arms, legs,
    abdomen, or hips. There is no regional adenopathy or other facial mucous
    membrane changes. I will see him back p.r.n.

    This physician always uses the 238.2 code even though we've told him it is not the correct code. Usually he finds AK's to remove so that is easy. What DX code would you use for this encounter? This is a Medicare patient.


  2. #2


    Use 702.19 Seborrheic Keratosis

  3. #3


    The physician should use the seb k diagnosis of 702.19. 238.2 should ONLY be used when there is a confirmed pathology report stating dysplastic, atypical, etc.

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