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.
A macule may be hypopigmented (lighter than the skin) or hyperpigmented (darker than the skin). A birthmark may be considered a macule if it is small. Larger birthmarks are considered to be patches. A rash may be referred to as a macule if the color of the rash is different from the color of the skin on the body.This form of macule is caused by infection or disease. Hyperpigmented macules may be referred to as cafe cafÃ© au lait. spots macule may be hypopigmented (lighter than the skin) or hyperpigmented (darker than the skin). A birthmark may be considered a macule if it is small. Larger birthmarks are considered to be patches. A rash may be referred to as a macule if the color of the rash is different from the color of the skin on the body.