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Lesion margin interpretation

  1. #1
    Default Lesion margin interpretation
    Medical Coding Books
    I am reading a medical record note, and the doctor notes 2.2 cm for the lesion, then the margin includes 0.2 from both sides. Would you interpret this as 2.2 + 0.2 x 2 = 2.6......or 2.2 + 0.2 = 2.4?

    I know how to code lesion excisions, but this is a matter interpreting notes.

  2. #2
    Location
    Milwaukee WI
    Posts
    4,466
    Default Best to ask the doctor
    The best bet is to ask the doctor to clarify. The way I read it you would only code 2.2 cm because the word "includes" would lead me to believe the physician has already included the margins in his measurement.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

  3. #3
    Default Lesion Margin interp
    You are probably right. Thanx.

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