When one of our doctors removes a lesion that they "FEEL" is going to be Squamous,Basal Cell is it ok to put that diagnosis down in the "assessment"? Or should it be coded 238.2. Unspecfied. When they code it as malig then it turns out to just be AK or SK, the patient chart has a wrong diagnosis in it. We wait to actually bill out for the service until the path comes back so it gets sent to the insurance company correct. So does the assessment make much difference since the path will prove what the lesion was?. Sorry if this was confusing wasn't sure how to say what I wanted. Thank you
Patient "Assessment" question
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