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Document these elements clearly: Target tissue : hypergranulation, proud flesh, epibole, or superficial bleeding point Location : exact wound or site treated Clinical reason : blocking epithelial advancement, recurrent friable bleeding, persistent raised tissue Wound context : exudate level, periwound condition, infection signs if present or absent Prior conservative management : dressing changes, moisture management, offloading, barrier protection, local care Response during treatment : tissue darkened, hemostasis achieved, patient tolerance, procedure stopped early if painful Planned frequency : and why that interval is appropriate The coding challenge is real