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2025 CPT code 11056

Removal of two to four benign hyperkeratotic lesions (e.g., corns or calluses) using surgical instruments.

Follow current CPT coding guidelines for surgical procedures. Accurate documentation is crucial for proper reimbursement.

Modifiers 51 (Multiple Procedures), 52 (Reduced Services), and 76 (Repeat Procedure) may be applicable depending on the circumstances.

Medical necessity is established when the hyperkeratotic lesions are causing significant pain, discomfort, or functional impairment. The patient's history and physical examination findings should support the need for surgical removal rather than conservative measures.

The physician evaluates the size, depth, and location of the lesions.They perform the surgical removal using appropriate instruments, ensuring proper patient preparation and anesthesia.Post-procedure care includes antiseptic application and pressure point management if necessary.

IMPORTANT Use 11055 for a single lesion and 11057 for more than four lesions.Do not use 11055, 11056, or 11057 for skin tags or cutaneous vascular proliferative lesions (use 17110 and 17111 instead).

In simple words: The doctor removes two to four non-cancerous thickened skin areas (like corns or calluses) using a small knife or a scraping tool.

This CPT code, 11056, describes the surgical removal of two to four benign hyperkeratotic lesions, such as corns or calluses.The procedure involves the use of surgical instruments like a scalpel or curette to pare or cut away the lesions.Appropriate patient preparation and anesthesia are assumed.Antiseptic application to the site and pressure point management (padding) may be included.

Example 1: A patient presents with three plantar corns on their foot. The physician performs surgical removal using a scalpel., A patient has two hyperkeratotic lesions on their hand from repetitive gripping.The physician uses a curette to remove them., A patient presents with four calluses on their heel, causing significant discomfort.Surgical excision is performed under local anesthesia. Pressure relieving padding is applied post-procedure.

Pre-operative assessment documenting the number, size, location, and nature of the lesions.Operative report detailing the instruments used, the technique employed, and the number of lesions removed.Post-operative care instructions and any complications noted.Photographs of the lesions before and after treatment may be beneficial for documentation.

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