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Simple repair of surface wound of face, ears, eyelids, nose, lips, or mouth, 5.1-7.5 cm

Simple repair of surface wound of face, ears, eyelids, nose, lips, or mouth, 7.6-12.5 cm

Simple repair of surface wound of face, ears, eyelids, nose, lips, or mouth, 12.6-20.0 cm

Repair of separation of wound closure with Insertion of packing

Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 20.1-30.0 cm

Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, more than 30.0 cm

Intermediate repair of wound of neck, hands, feet, or genitals, 12.6-20.0 cm

Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 7.6-12.5 cm

Complicated repair of wound of eyelids, nose, ears, or lip, each additional 5.0 cm or less

Preparation of skin graft site of trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less