ERINEILEEN73
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I am looking for some advise on coding a re-excision of a previously diagnosed malignant melanoma. Our surgeon didn't do the original excision, he is just doing the re-excision and the pathology came back stating that no malignant neoplasm was found. So my question is, do I code the claim as malignant and attach 78 mod even if we didn't do the original or do I code it as a benign since the path came back. I am leaning toward the malignant code, but not the modifier since it is out of the post op period and we didn't even do the original excision.