According to AMA, excision is defined as full-thickness.
The excision of the lesion is not reported.
If adjacent tissue transfer is required, only report the tissue transfer 14000- 14302.
To determine code selection, measure the lesion and the surrounding tissue or most narrow margin of normal tissue required for complete excision.
A 10-day global means the 10 days start the day of the procedure, and any postoperative procedures are included in the procedure and generally are not payable for 10 days.Ĭoding Lesions of the Integumentary System An excision, however, is considered a minor procedure and carries a 10-day global period. For example, the shaving of an epidermal or dermal lesion is considered an "endoscopic minor procedure" and has 000 global days. If, for some reason, a re-excision is required, keep an eye on the global days for the procedure that was done.
Check the pathology reports, if any, to confirm Morphology (whether the neoplasm is benign, in-situ, malignant, or uncertain)ġ-Epidermis - Split-thickness between the epidermis and dermisĢ-Dermis - Full-thickness of the epidermis and the entire dermisģ-Subcutaneous - Below the dermis, meaning fat and connective tissues.
The code selection will be determined upon the following: There are several considerations to be aware of before assigning a code for lesions and soft tissue excisions.