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Wiki Failed cyst removal

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rebekahldavis

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I'm stuck on what to code for a procedure:

The patient presents to the office for a scalp cyst excision. The area was prepped, local anesthetic injected and an incision was created over the cyst however blunt dissection failed to reveal a cyst. The incision was sutured closed and the patient instructed to follow up with neurologists.

Would you code an excision with a modifier or an E&M code?
 
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