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Important caveat: this is a single-center, single-surgeon retrospective with 77 patientsuseful for safety signal, not the final word on combined-procedure decision-making across all surgical settings

Payers prefer site-specific codes, and using D22.9 when the clinical note documents a scalp or neck location is a common coding error that can trigger medical necessity reviews

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29, PP 11154-11165 [online] Available at: De Koning, E.J., Van der Zwaluw, N.L., Van Wijngaarden, J.P., Sohl, E., Brouwer-Brolsma, E.M., Van Marwijk, H.W.J., Enneman, A.W., Swart, K.M.A., Van Dijk, S.C., Ham, A.C., Van der Velde, N., Uitterlinden, A.G., Penninx, B

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