We're second guessing ourselves on how to come up with the correct size on a lesion that the surgeon says is 5 cm but on the path it states the specimen measures 7 x 4 x 1.5 cm and the dark, pigmented lesion is 4 x 2 x 1 cm. Could you please explain in detail how you come up with the correct lesion size to apply the correct excision CPT code and the correct intermediate repair code of this example. Hopefully you can clear up this ongoing debate for us. Thank you so much.