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2025 CPT code 11300

Shaving of epidermal or dermal lesion, single lesion, trunk, arms, or legs; lesion diameter 0.5 cm or less.

Shaving does not involve full-thickness removal. Do not report size of margins. Simple closure is included, and should not be billed separately. Use modifier 59 for distinct procedural services.

Modifiers may be applicable, such as 25 (significant, separately identifiable E/M service), 59 (distinct procedural service), and others depending on the circumstances.

Medical necessity must be established for the lesion removal.This may include cosmetic reasons, symptomatic relief (e.g., pain, irritation, bleeding), or diagnostic purposes (e.g., suspicion of malignancy).

The physician evaluates the lesion, preps the area, administers local anesthesia, removes the lesion using a scalpel with a horizontal slicing motion, and controls bleeding via cauterization.

IMPORTANT:For lesions larger than 0.5 cm, use 11301 (0.6-1.0 cm), 11302 (1.1-2.0 cm), or 11303 (>2.0 cm). Modifier 59 may be used for additional lesions shaved during the same session.

In simple words: Removal of a small skin growth (0.5 cm or less) on the body, arms, or legs by shaving it off. This includes numbing the area and stopping any bleeding.

This code describes the surgical shaving of a single epidermal or dermal lesion on the trunk, arms, or legs. The lesion's diameter must be 0.5 cm or less.The procedure includes local anesthesia and chemical or electrocauterization of the wound. Shaving implies a sharp, transverse incision or horizontal slicing to remove the lesion, typically without full-thickness dermal excision and does not require suture closure.

Example 1: A patient presents with a small, raised mole (0.4 cm) on their arm. The physician shaves the lesion for cosmetic reasons., A patient has a rough, irritated skin tag (0.3 cm) on their trunk that is causing discomfort. The physician shaves the lesion to alleviate the symptoms., A patient has a suspicious lesion (0.5 cm) on their leg. The physician shaves the lesion for diagnostic purposes, sending the sample for pathology.

Documentation should include the lesion's location, size (diameter), description, method of removal (shaving), anesthesia used, and method of hemostasis (cauterization). If sent for pathology, this should also be documented.

** It's important to distinguish between shaving and excision. Excision involves full-thickness removal, while shaving does not.

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