AAPC - Back to school
Results 1 to 3 of 3

Thread: 11440?also

  1. #1
    Join Date
    Apr 2007

    Default 11440?also

    AAPC: Back to School
    PREOPERATIVE DIAGNOSIS: Infiltrating basal cell carcinoma of the left cheek.
    POSTOPERATIVE DIAGNOSIS: Infiltrating basal cell carcinoma of the left cheek.
    OPERATION: Excision of infiltrating basal cell carcinoma of the left cheek with two excisions, total excision size 3.5 cm.

    ASSISTANT: None.
    This elderly patient presented to the office with a lesion of the left cheek which had been previously biopsied and was said to be an infiltrating or sclerosing basal cell carcinoma. She also had a small lesion of her lower lid on the left.
    She was taken to the operating room and placed under adequate basal sedation. A generous 4 mm margin was marked around the lesion which was on the left medial cheek. The incision was carried down through the skin and subcutaneous tissue and through approximately the mid level of the fat. It was tagged at the 12 o'clock superior margin and submitted to the lab for frozen sections. In the meanwhile, the 2 mm lesion of the lower lid was biopsied off. No closure was performed.The pathologist indicated that the peripheral margins were clear but closed and that the deep margins were questionably involved. Since the deep margin was comprised of soft cheek fat, we discussed the issue and decided to do a permanent section. So, four additional margins around the periphery were taken and submitted to the lab and a new deep margin was submitted to the lab for permanent section. All these margins had true margins stained with methylene blue. A sterile dressing was then applied because she did not wish to proceed with a flap unless the margins were clear. The patient was then sent back to the recovery room in good condition with the anticipation that she will be brought back to the operating room on Tuesday once the margins have been determined.

    MY question is can I also code what was in paragraph 2 that states the 2mm lesion of lower as lid as 11440 came cack a eyekid lesion -seborrheic keratosis ?
    Last edited by codedog; 07-19-2011 at 12:06 PM.

  2. #2
    Join Date
    Apr 2007


    biopsy off means excision correct ?

  3. #3


    I have never heard the phrase "biopsied off" but if the provider removes the entire lesion then it is not coded as a biopsy but as an excision.
    The method of removal should be documented because if removed by shave then you would use shaving codes 11300-11313.

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.