September 2000 page 11-end
Coding Consultation
Digestive System, 40520, 40500 (Q&A)
Question
Should I use codes 40520 and 40500 to report a wedge resection to remove an invasive carcinoma of the lip, and a lip shave to remove the rest of the sun-damaged lip during the same operative session?
Answer
In general, a wedge resection with margins is adequate for removal of a squamous cell carcinoma. Vermilionectomy may be performed as a preventative maneuver or for other lesions. If the wedge resection and lip shave were performed for the same reason, only code 40520, Excision of lip; V-excision...
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