HCGTV: Webinar - Tackle Your Lesion Coding Troubles

This webinar was recorded on May 9th, 2018. The slide deck for this recording is not available. Visit our website for additional education: www.thehaugengroup.com/shop/
When coding for excision of lesions a lot of different information must be taken into consideration - like is the lesion benign or malignant, what was the size of the lesion, and what kind of closure was performed? Let Haugen guide you to arrive at the correct code(s) by explaining pertinent anatomy, types of lesions, and procedures to remove and repair lesions. Using coding examples, Haugen will explain why the type of closure matters and show you how to apply the correct codes when billing for lesion removal procedures.
Objectives:
Discern what information is needed to code for lesion removal;
Select appropriate CPT codes based on the operative report;
Choose correct ICD-10-CM diagnosis codes based on the operative report;
Determine appropriate codes allowed to be billed together
**The coding information and guidance in this video is valid at the time of publishing. Viewers are encouraged to research subsequent official guidance in the areas associated with the topic as they can change rapidly.
0:00 Introduction
1:19 Objectives
1:49 Skin Anatomy
2:29 Definitions
3:57 Benign or Malignant?
5:48 Excision of a Lesion Procedure
6:59 Benign Lesion Excision Codes
8:58 Malignant Lesion Excision Codes
11:13 Excised Diameter Examples
13:54 Polling Question #1
17:13 Excision Coding Guidelines
20:39 Example #1 Rationale
21:24 Polling Question #2
22:28 Repairs
23:32 Repair Coding Tips Simple
24:19 Intermediate Repair Codes
25:49 Repair Coding Guidelines
27:39 Example #2 Rationale
29:07 Adjacent Tissue Transfer (Flaps)
32:14 Defect Size
34:12 Excision with W-Plasty Repair
35:02 Multiple Lesions Requiring Flaps
36:08 Example #3
37:49 Flaps and Grafts
39:11 Reconstructive Closure (Grafts)
39:53 Polling Question 3
41:35 Eyelid Excision
43:20 Hidradenitis
44:58 Moh's Surgery
46:45 Polling Question 4
49:23 Uncertain vs. Unspecified Behavior
50:26 Skin Neoplasm Code Blocks
51:20 Neoplasm Table
52:47 Neoplasm Coding Guidelines

[@rosac8168]

wow! I'm finally getting it i keep getting this section wrong in my exams- Thank you

[@nadinewalker9375]

This was good information. I need a copy of this.

[@carlonwilliams9883]

good review

[@shivaprasadb4837]

Thanks mam for valuable info..

[@brendawhiteside3785]

A+

[@nadinewalker9375]

Do you group the repairs for rotational flaps if the repairs are in the same anatomical site

[@HCGTVHaugenConsultingGroup]

Thank you for your question. The CPT coding guidelines and CPT Assistant provide additional information about coding for this type of service. If you would like to learn more about coding for various types of skin repairs, check out our CPT Surgery: Integumentary Series. www.thehaugengroup.com/marketplace/ha-marketplace/online-courses/cpt/cpt-surgery-integumentary-series/

[@AB-oe7gf]

Do they provide margin diameter

[@HCGTVHaugenConsultingGroup]

We discuss margin diameter in our online course series, Procedure Coding for Integumentary.
You can learn amount the series and purchase it here:
www.thehaugengroup.com/marketplace/online-course/cpt/cpt-surgery-integumentary-series/