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.
The macules (a medical term for flat skin spots) are small, around 1-3 mm in diameter though they can measure up to 10 mm and are circular or angular. It is suspected that the natural aging process causes the condition. The skin loses pigment through a gradual reduction in melanocytes; much like hair loses pigment during the aging process and turns gray or white. Other theories are that the condition is caused by sun damage or non-sun related sehorrhoeic keratosis.