00225, 00226, 00227 are billable only for complicated epithelial cancer and only by physicians specially qualified in this technique.
00226, 00227 are billable only once, whether or not excision of the lesion extends to the subsequent day.
00227 is not billable if the surgery is performed in a hospital setting.
Closure of the resulting defect by undermining and advancement flaps is included in the above fees. If more complicated closure is medically necessary, bill as an extra under appropriate listings for skin grafts.