Hi Need some ideas how would you code this case
"OK, so I took out a melanoma on the nose. With the 0.5cm margins the defect was on the cheek and the nose. I closed the cheek with a rhomboid transposition flap (14040) and the nose with a bilobed transposition flap. So, one defect, 2 closure codes on the melanoma nose icd-9 (173.2) which won't match with 14040 code, only 14060 code."

Give me your ideas. All appreciated