I would check the op report to see how deep the excision goes, you may want to look at 21930 if the excision goes deeper than the dermis and into the subcutaneous tissue. I think of it this way, he is doing a wide excision of a malignancy, (WLE?), so if the second excision comes back as benign it's because most or all of the malignancy was removed with the first excision, the second excision is to ensure the malignancy is totally excised with clear and adequate margins. He is still doing the procedure because of the malignancy. Does that make sense? Does anyone agree?
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