2025 CPT code 11305
Effective Date: N/A Surgery - Surgical Procedures on the Integumentary System Feed
Shaving of epidermal or dermal lesion, single lesion, scalp, neck, hands, feet, genitalia; lesion diameter 0.5 cm or less.
Modifiers may apply. Modifier 25 is used when a separately identifiable significant E/M service is provided on the same day. Modifier 59 is used if multiple lesions are shaved, or when the shave removal is distinct from other procedures performed on the same day.
Medical necessity must be supported by documentation that justifies the removal of the lesion. This may include factors such as patient discomfort, bleeding, interference with function, cosmetic concerns, or suspicion of malignancy requiring biopsy.
In simple words: This procedure removes a small skin lesion (less than 0.5 cm) from areas like the scalp, neck, hands, feet, or genitals by shaving it off. The area is numbed, and a tool is used to remove the lesion. The wound may be treated with heat or chemicals to stop bleeding, and it typically doesn't need stitches.
This code describes a procedure where a single epidermal or dermal lesion of 0.5 cm or less in diameter is shaved from the scalp, neck, hands, feet, or genitalia. The procedure includes local anesthesia and chemical or electrocauterization of the wound. It does not involve full-thickness dermal excision and typically does not require sutures.
Example 1: A patient presents with a small benign skin tag on the neck, measuring 0.4 cm. The physician performs a shave removal under local anesthesia and uses electrocautery to stop minimal bleeding., A patient has a small wart on the hand, less than 0.5 cm in diameter. The dermatologist shaves the lesion and applies a chemical cauterizing agent. , A patient presents with a flat, pigmented lesion on the scalp, measuring 0.3 cm. After examination, the physician decides to shave the lesion for diagnostic purposes. The removed tissue is sent for pathological examination.
Documentation should include the lesion's location, size, and description, the method of removal (shaving), the use of anesthesia and cauterization, and whether the removed tissue was sent for pathology. If the lesion is being removed for diagnostic purposes, the reason for suspicion should also be documented.
- Specialties:Dermatology, General Surgery, Family Medicine, Plastic Surgery
- Place of Service:Office, Outpatient Hospital, Ambulatory Surgical Center