Case Study: 11420: 3-Step Guideline to Mark Your Lesion Excision Report

Lesion and margin measurements dictate your reimbursement -- find out why.

Sometimes the reports you receive from your physician/surgeon only leaves you confused on what codes to use in your claim. Resolve this dilemma by reading through the documentation with scrutinizing eyes, and you'd be able to determine the appropriate codes and areas for clarification in no time. Examine the following op note:

Preoperative diagnosis: Unknown soft tissue mass, left foot

Postoperative diagnosis: Unknown soft tissue mass, left foot

Operation: Excision of subcutaneous soft tissue mass, left foot Gross findings and procedure description:

Anesthesia: Local with IV sedation

Hemostasis: Pneumatic tourniquet at 250 mmHg x [...]

- Published on 2010-10-11