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coding dx of basal carcinoma w/o a path

  1. Default coding dx of basal carcinoma w/o a path
    Medical Coding Books
    Patient comes into clinic with a suspicious lesion, provider does cryo on it. Provider states in the asses/plan that it is a basal cell carcinoma, no path was done, just a cryo. No evidence of a malignancy. Do I code what the provider dx it as or code as a skin lesion.



  2. #2
    You would code it as basal carcinoma, since that's what the doctor said it is. Use the CPT code for malignant cryotherapy, the codes start at 17260.

  3. #3
    Coastal Coders
    How can a doctor decide it is BCC without a pathology report? That would make me very nervous.

  4. Default
    without a path report, i would code the dx with an unspecified nature of neoplasm depending on where the lesion is located.

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