2007 ICD-9-CM Procedure 86.4 Radical excision of skin lesion 86.4 is a specific code that can be used to specify a procedure 86.4 contains 2 index entries View the full Volume 3 86.* hierarchy 86.4 also known as: Wide excision of skin lesion involving underlying or adjacent structure Code also any lymph node dissection (40.3-40.5) Index entries containing 86.4: Excision lesion (local) skin 86.3 radical (wide) (involving underlying or adjacent structure) (with flap closure) 86.4 skin (local) 86.3 radical (wide) (involving underlying or adjacent structure) (with flap closure) 86.4