Results 1 to 2 of 2

excision of lesion

  1. Default excision of lesion
    Medical Coding Books
    have a patient with the pathology findings as follows:

    Sections show segments of oral surface stratified squamous epithelium characterized by a moderate disruption in maturation, with atypical rete ridge morphology demonstrating broad and gused forms, disturbed polarity in the deep spinous and basal cell regoins, elevated and often atypical mitotic figures, nuclear hyperchromasia and increased nucleus to cyoplasm ratio. the epithelium is covered with thickened lightly corrugated layers of orthokeratin and parakeratin. segments of this epithelium elicit a dense superficial chronic inflammatory cell infiltrate of lymphocytes associated with significant leykocytic exocytosis. in these regoins, hydropic change is noted in the deep spinous and lasal cell regoins accompanied by numerous cytoid bodies. resident fibrous connective tissue is composed of collagen bundles, ground substance, fibrocystes and small vascular structures.

    DX Code submitted to us from pathology: 528.6

    the physicians states that this is neither a benign or malignant lesion. Because of the pre- malignant state of the sample he wants to code using the malignant codes

    it is my understanding that if it isn't malignant you can't code it as such.

    any input would by greatly appreciated.

  2. #2
    Default Excision of lesion
    I would tend to agree with you. How about using the dx code for
    uncertain behavior. Hope this helps! Good Luck
    Deb, CPC

Similar Threads

  1. lesion excision
    By bwerner in forum General Surgery
    Replies: 3
    Last Post: 05-25-2012, 09:23 AM
  2. lesion excision
    By koatsj in forum General Surgery
    Replies: 1
    Last Post: 04-24-2012, 08:25 AM
  3. lesion excision, lesion not found
    By FLSJarrel in forum General Surgery
    Replies: 1
    Last Post: 07-15-2011, 10:23 AM
  4. need help with excision of lesion
    By ggparker14 in forum Dermatology
    Replies: 4
    Last Post: 02-23-2011, 08:31 PM
  5. lesion excision help
    By BFAITHFUL in forum Dermatology
    Replies: 3
    Last Post: 08-03-2009, 10:24 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?


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.