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Codes to know 97597 for the first 20 square centimeters or less 97598 for each additional 20 square centimeters Documentation that protects payment Identify the instrument or method such as curette, scissors, scalpel, forceps, or waterjet Show pre and post measurements in centimeters State the tissue type removed and the clinical reason the removal was skilled Keep the area calculation visible so the initial unit and any additional units are obvious Common mistakes to avoid Calling an encounter selective when the description actually reflects excision into viable tissue Omitting instrument and size details, which creates uncertainty for medical review Excisional debridement by depth Excisional debridement is chosen by the deepest level of viable tissue actually removed in that anatomic site

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