vjst222
Guest
I have a few questions - I have a patient who had a 1.1 centimeters excision of melanoma insitu with wide margins up the upper arm
Here is the majority of the OP report
Patient taken to OP room , General anesthesia was done . An Elliptical incision was made and carried DOWN TO THE FASCIA , the lesion was then removed and a stitch placed at the 12 oclock for orientation purposes. we then widely undermined the tissues using electrocautery so that we could effect a primary closure .
Path came back - Melanoma in Situ
Path says the following : skin biopsy , skin left arm, superficial spreading melanoma in situ : received in formalin pink tan skin with underlying fatty tissue
So here is my question : Since the excision went down to the fascia, would this be a code that codes to the integumentary system or will this get coded to the musculoskeletal system. I need solid proof .
I thought perhaps it would code to 24075 ,however, I was told since melanoma is a skin lesion originally it would only be coded to the 11602 .
I guess I am looking for SOLID proof that states, melanomas can only be coded to the 11600 series .
I thought the musculoskeletal codes were used for patients where the excision went down to subcutaneous regardless of if it was cancer or not cancer.
Any advice or help is appreciated.
Here is the majority of the OP report
Patient taken to OP room , General anesthesia was done . An Elliptical incision was made and carried DOWN TO THE FASCIA , the lesion was then removed and a stitch placed at the 12 oclock for orientation purposes. we then widely undermined the tissues using electrocautery so that we could effect a primary closure .
Path came back - Melanoma in Situ
Path says the following : skin biopsy , skin left arm, superficial spreading melanoma in situ : received in formalin pink tan skin with underlying fatty tissue
So here is my question : Since the excision went down to the fascia, would this be a code that codes to the integumentary system or will this get coded to the musculoskeletal system. I need solid proof .
I thought perhaps it would code to 24075 ,however, I was told since melanoma is a skin lesion originally it would only be coded to the 11602 .
I guess I am looking for SOLID proof that states, melanomas can only be coded to the 11600 series .
I thought the musculoskeletal codes were used for patients where the excision went down to subcutaneous regardless of if it was cancer or not cancer.
Any advice or help is appreciated.
