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Thread: Atypical Nevus

  1. #1
    Join Date
    Apr 2007

    Default Atypical Nevus

    AAPC: Back to School
    I'm in a battle over the correct code for this.

    238.2 or 216._

    anyone have some suggestions? I say its 216._ but I have a non-coder questioning me.


  2. #2
    Join Date
    Apr 2007


    Based on the definition below an atypical nevus is an unusual benign mole. So coding it as benign probably makes sense. I have heard this argument before, and I have had very knowledgeable people have two completely different opinions. You could query the physician to make sure he/she is completely comfortable labeling it as benign.

    Dysplastic Nevi - SkinCancer.orgwww.skincancer.org/skin-cancer-information/dysplastic-neviCached
    Dysplastic Nevi (atypical moles) are unusual benign moles that may resemble melanoma

  3. #3
    Join Date
    Apr 2007
    Tacoma, WA


    Quote Originally Posted by pennysueorr View Post
    I'm in a battle over the correct code for this.

    238.2 or 216._

    anyone have some suggestions? I say its 216._ but I have a non-coder questioning me.

    When you look up "nevus" in the Index it directs you to Neoplasm, skin, benign. Go to that section and the codes under the benign heading are in the 216.x category. Now the diagnosis also stated "atypical" so perhaps the 238.2 would be more accurate since it indicated uncertain behavior. Without more information I would be tempted to go with the 238.2 until there is a determination by pathology.
    Arlene J. Smith, CPC, CEMC, COBGC
    AAPC Tacoma WA Chapter

    President 2015
    Past-President 2013 and 2011
    President-Elect 2010
    Member Relations 2008
    AAPC NAB 2007-2009

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