Ok 2 separate excisions can each be billed no problem. You use the largest diamenter from each individual excision for that code. If you do not know the margins of the excision then you will have go with the measurements from the path report so the first one will be based on the code for sise of 2.1 cm and if the repair was a simple repaire it cannot be coded. The second excision is out of the global so no modifier is needed and it will be based on the size of 2.3 cm and if the repair is documented as an intermediate then you may also code and bill it.
If the repair is not documented as a lyered repair then it cannot be billed, the repair of simple vs intermediate is not based on the size of the excision per se, rather the depth of the excision. If the provider just states the wound was closed then we must assume simple repair and it cannot be coded. We can never assume an intermediate just due to size. As far as can you code an E&M plus an excision, that depends on the documentation.
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