Vaida Posted Thu 17th of October, 2013 13:14:45 PM
Does the level of risk in Medical Decision Making increases or decreases depending if the lesion in benign or malignant? To be more specific, is it the same level of risk if we perform cryosurgery on benign Molluscum Contagiosum or malignant Squamous Cell Carcinoma?
SuperCoder Answered Fri 18th of October, 2013 00:59:44 AM
I will relay this to my Senior Editor.
SuperCoder Answered Fri 18th of October, 2013 02:23:04 AM
Considering this as a minor surgery (no other complications etc. mentioned here), the small skin surgery could be taken as "low risk" [Minor surgery with no identified risk factor]. Here what you need to look for is that if the doctor has mentioned any risk from the lesion (especially when malignant).
If the malignant lesion has been mentioned as a risky affair for surgery / a condition which could make the situation complex while doing surgery, then the RISK LEVEL can go up to Moderate. But then the documentation should contain doctor's explanation why the condition is risky for doing a surgery.
So depending on documentation, the surgery can be considered as LOW or MODERATE level of risk. Just because the lesion is benign or malignant, does not make it a higher risk in calculating MDM.