Additional procedures, other than skin grafts, are extra; e.g.: bone or tendon grafts, inlay grafts, etc.
Orthopaedics: The treatment of benign skin lesions for cosmetic reasons, including common warts (verrucae) is not a benefit of the Plan. Refer to Preamble D. 9. 2. 4. a. and b. “Surgery for the Alteration of Appearance.”
Please reference the billing pre-amble for these relevant interpretations of this billing code:See Pre-Amble Notes