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.
Lesion Type (Primary Morphology). Macules are flat, nonpalpable lesions usually 10 mm in diameter. Macules represent a change in color and are not raised or depressed compared to the skin surface. A patch is a large macule.laques are palpable lesions 10 mm in diameter that are elevated or depressed compared to the skin surface. Plaques may be flat topped or rounded. Lesions of psoriasis and granuloma annulare commonly form plaques. Nodules are firm papules or lesions that extend into the dermis or subcutaneous tissue.