• Home

What problems might arise from this incorrect coding process?

What problems might arise from this incorrect coding process?

Lonny Chadwick noticed a suspicious-looking mole on his lower right leg and went to his dermatologist. Lonny’s father died of malignant melanoma, and Lonny was concerned that his mole was also malignant. The dermatologist examined the mole and removed a section of tissue biopsy. When the biopsy results were returned, the laboratory report stated that the tissue sample was “abnormal, but inconclusive.” Documentation in Mr. Chadwick”s health record noted the fact that his father had died of malignant melanoma. The diagnosis stated, “suspicious lesion, lower right leg, rule out melanoma.” Subsequently, the insurance professional submitted a claim with the diagnosis of melanoma. What problems might arise from this incorrect coding process?