What is key in determining the code is 1) the size of defect including most narrow margins and 2) whether or not the closure was simple, intermediate or complex
(complex closures are separately reported in addition to excision code,however, if a tissue transfer or advancement is done to achieve closure then the only code you report is the tissue transfer code as it includes the excision of lesion)
once you have these factors you can properly choose which codes are best whether it is 11600-11646
melanomas, basal cell carcinomas and squamous cell carcinomas are to be coded from the integumentary section of coding and not the musculoskeletal section
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