PROCEDURES:

Excision of a 2.5 cm hemangioma on the waistline with extensive undermining and closure.
Excision of suspicious 1.5 cm lesion of the left ankle with extensive undermining and closure.

How would you code this ICD-9-CM Procedure code

To code the excision procedures described above, you would need to use the ICD-9-CM procedure codes. However, please note that the ICD-9-CM coding system was replaced by ICD-10-CM on October 1, 2015. Since ICD-9-CM is no longer in use, the following explanation will be based on ICD-10-CM coding.

For the excision of a 2.5 cm hemangioma on the waistline with extensive undermining and closure, you would use the following ICD-10-PCS (Procedure Coding System) codes:
- The root operation for this procedure is "Excision" (character 3 of the ICD-10-PCS code).
- The body part is the "Skin and Subcutaneous Tissue" (character 4 of the ICD-10-PCS code).
- The approach is "Open Approach" (character 5 of the ICD-10-PCS code).
- The device used would be "No Device" (character 6 of the ICD-10-PCS code).
- The qualifier is "Extensive Undermining and Closure" (character 7 of the ICD-10-PCS code).

Based on this information, a possible ICD-10-PCS code for this procedure could be: 0HBW0ZZ (Excision of Skin and Subcutaneous Tissue, Open Approach, No Device, with Extensive Undermining and Closure).

For the excision of a suspicious 1.5 cm lesion of the left ankle with extensive undermining and closure, a possible ICD-10-PCS code could be: 0SRC0JZ (Excision of Skin and Subcutaneous Tissue, Open Approach, No Device, with Extensive Undermining and Closure).

Please note that ICD-10-CM/PCS coding can be complex, and it is always recommended to consult the official coding guidelines and seek the assistance of a certified coding professional for accurate and up-to-date coding.