Just wondering if any coding gurus out there can answer this and if possible give some supporting references. The sections in brackets are what I am seeing in physician documentation (all PHI omitted).
Is it sufficient to list the number of lesions present in the PE [SKIN: 10 AKs present on the face, arms, and bilateral ears] to code 17000 x1 and 17003 x9 if the description of the procedure is vague in the A&P [Actinic Keratoses (L57.0) Cryotherapy (17000) (Routine)]?
Does the number of lesions removed need to be expressly specified in the documentation?
Any responses are appreciated.