I have a case that involves extramammary paget disease in the perineum and left pubic area. The provider did a wide local excision with dimensions 10 cm x 12 cm (non stretched) which covered the anterior perineum which extended to anterior scrotum and proximal aspect of the anterior penile shaft. The dermis was taken off of the underlying subcutaneous plane. repair was done by another provider. I want to use 11626 (genitalia) and 11606 (trunk-perineum) because of the 2 anatomical areas but with skin being considered one organ, I need assistance in determining if I should use one or two cpt codes and if one which one. What determines the cut off. I have several opinions which leads me here.