Basal Cell Skin Carcinoma treatment by Mohs Surgery Coding

Basal cell skin carcinoma treatment with Mohs Micrographic Surgery

Mohs Micrographic surgery involves removing of basal cell skin carcinoma with each layer of skin and examining each layer under microscopy. The layer of basal cell skin carcinoma   is examined immediately under microscope. This procedure helps us for a very close examination of basal cell skin carcinoma cells. Mohs Surgery coding are very complicated to code in Surgery coding. Mohs surgery question are also asked in CPC exam organized by AAPC. Hence, it will be very useful to learn Mohs surgery coding used for treatment of basal cell skin carcinoma.

CPC Practice Exam - Medical Coding Study Guide Please Click Here!

 

Basal Cell Skin Carcinoma treatment by Mohs Surgery Coding

 Basal Cell skin carcinoma treatment in detail (Mohs Surgery)

Definition: Mohs micrographic surgery involves excising a malignant skin neoplasm or basal cell skin carcinoma and the tissue surrounding it, color-coding and mapping the tissue and examining it for malignant pathology. This requires a specially trained physician acting as both surgeon and pathologist. The process is continued in stages until the wound margins are clear of malignant cells. Mohs surgery is time consuming but offers a number of advantages including a high cure rate, the ability to conserve healthy tissue and the use of local anesthesia.
The surgeon removes the obvious lesion and then horizontally excises an additional piece of tissue. While the wound is temporarily covered with a dressing, the tissue is mapped and the tumor specimen divided into pieces and embedded into an individual tissue block for pathologic examination.
If malignant cells of basal cell skin carcinoma remain in the tissue margins, the surgeon matches the sample to the wound with the mapping and excises an additional layer of tissue. The process is repeated until all of the margins are clear. Once the margins are clear, the wound is closed using typical reconstructive procedures (e.g. sutures, skin flaps, or skin grafts).

Codes used for basal cell skin carcinoma treatment by Mohs surgery

17311 Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping, color coding of specimens, microscopic examination of specimens by the surgeon, and histopathologic preparation including routine stain(s) (eg, hematoxylin and eosin, toluidine blue), head, neck, hands, feet, genitalia, or any location with surgery directly involving muscle, cartilage, bone, tendon, major nerves, or vessels; first stage, up to 5 tissue blocks

17312 each additional stage after the first stage, up to 5 tissue blocks
 (List separately in addition to code for primary procedure)

17313 Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping, color coding of specimens, microscopic examination of specimens by the surgeon, and histopathologic preparation including routine stain(s) (eg, hematoxylin and eosin, toluidine blue), of the truck, arms, or legs; first stage, up to 5 tissue blocks

17314 each additional stage after the first stage, up to 5 tissue blocks
(List separately in addition to code for primary procedure)

17315 Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping, color coding of specimens, microscopic examination of specimens by the surgeon, and histopathologic preparation including routine stain(s) (eg, hematoxylin and eosin, toluidine blue), each additional block after the first 5 tissue blocks, any stage (List separately in addition to code for primary procedure)

Hope, you would have learn about Mohs Surgery coding done for Basal cell skin carcinoma treatment. If you liked it do share it.

Share this

Related Posts

Previous
Next Post »