I'd copy the page from CPT that shows the diagram. I do this regularly for my surgeons, even though they already know how to dictate the sizes.
Lesions are measured BEFORE excision ... diameter at the widest point, plus smallest margin reasonable for complete excision.
The length of the excised wound will be LONGER, because they typically use an eliptical incision to allow for closure.
So the doctor should tell you the size of the lesion & margin BEFORE excision
(e.g. patient with benign 2.4cm lesion, including margin), -and-
should dictate the size of the wound if planning to also code for layered or complex closure. (e.g. Resultant wound, 5 cm long, closed by ....)
Hope this helps.
F Tessa Bartels, CPC, CPC-E/M
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