COMMON DOCUMENTATION ERRORS. Required Documentation That Was Deficient - Physical Exam. Component of the Documentation That Was Missing or Incomplete. The missing information included: * Previous diagnosis. * An exam of the area of the spine involved in the diagnosis.
Macule-skin lesion. Macule is a small SKIN LESION that is flat, smooth, and discolored. Macules are common and may appear as the presenting symptom for numerous dermatologic and other health conditions.Often the only symptom they present themselves is discoloration, though some macules itch or hurt. macule is the same texture and thickness as the adjacent skin and generally no larger than two inches in length, width, or diameter. The most common macule is a lentigo, or freckle. See also BIRTHMARK; LENTIGINES; NODULE; PAPULE; PUSTULE; VITILIGO.
1 The color of a macule is not the same as that of nearby skin. 2  Macules come in a variety of shapes and are usually brown, white, or red. Examples of macules include freckles and flat moles. 3  A macule more than 2/5 in (1 cm) in diameter is called a patch.4  Vesicle.econdary skin lesions are those changes in the skin that result from primary skin lesions, either as a natural progression or as a result of a person manipulating (e.g. scratching or picking at) a primary lesion.