A 35-year-old man presented for removal of abiopsy-proven, atypical pigmented nevus on the waistline with anexcised diameter of 4.6 cm. The procedure and postoperativemanagement were discussed with the patient. Consent was obtained.The site of the proposed skin incision was marked, and the patientwas prepared and positioned. A local anesthetic using field-blocktechnique was administered. After the anesthetic took effect, anelliptical incision around the lesion with a 2-mm margin of normalskin was performed. The dissection was full thickness with somesubcutaneous fat. Electrocautery was used to obtain hemostasis,which proved to be more difficult and time consuming than usual forthis procedure. An additional 15 minutes was used for ensuringhemostasis. Careful attention was given to avoid destroying tissuearchitecture. A suture was placed in the edge of the specimenbefore it was removed from the body. The original position of thesuture was noted with a drawing on the pathology specimen form. Theskin was closed with interrupted nylon sutures, and a steriledressing was applied. Discharge instructions and outcome, alongwith appropriate prescriptions, were discussed with thepatient.
Provide the CPT code(s) and modifier(s) and ICD 10-CMfor this procedure.
