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.
Macules may be of. any size or color. A macule greater than 2 cm. in diameter is called a patch. Ex: cafÃ©-au-lait: Mongolian spot; freckle. 2. Papule: Papule is a solid, elevated lesion with no visible fluid which may be up to Â½. cm. in diameter. The elevation may be accounted for by metabolic deposits, infiltrates, or hyperplasia of cellular elements, etc. A papulosquamous lesion is a papule with desquamation (scaling). 3. Nodules: Nodules are forms of papules, but are larger and deeper.