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Otolaryngology Coding Alert

You Be the Coder:
Familiarize Yourself with Rules Surrounding Repair Size Versus Complexity

Question: Under the exam heading, the surgeon documents the following procedure: Complex repair upper lip measuring 1.1. However, the operative note states thefollowing: A #15 blade was used to incise the previously made lines, including both the lesion and the margins as well as inferior and superior burow triangles. The lesion was sent to path. Hemostasis was achieved with bipolar [...]