Question

There are eight categories under the subheading Skin, Subcutaneous, and Accessory Structures. What are the eight categories? How would you know the correct category to code from? What is the difference between excision and destruction

Answer 1

*THE EIGHT CATEGORY OF SKIN:

1.Epidermis

2.DEJ( dermal-epidermal junction)

3. Papillary dermis

4. Superficial vascular plexus

5. Reticular dermis

6. Deep vascular plexus

7. Subcutaneous layer

8. Accessories ( hair,nails, sweat glands, sebaceous glands,)

* I know this correct categories of skin from the Book " DERMATOLOGY" written by Dr Manish Soni.

And also by measurements of lesions diameter plus narrowest margin.

Code selection:1.from benign or malignant.

2. Size in centimetre.

3. Anatomical location.

* DIFFERENCE BETWEEN EXCISION AND DESTRUCTION:

•EXCISION:1. Excision meaning " to cut out".

2. Excision is the full thickness removal of lesions including margins.

3.excision including simple closure.

•DESTRUCTION:1. Destruction means demolition.

2. Destruction is the ablation of tissue by any method.

3. Destruction not usually requires closure.