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: https://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