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2025 CPT code 11057

Paring or cutting of more than four benign hyperkeratotic lesions (e.g., corns or calluses).

* Do not use this code for skin tags or cutaneous vascular proliferative lesions. Use codes 17110 and 17111 instead.* Use codes 11055 and 11056 for one and two to four lesions, respectively.* Proper documentation is crucial for accurate coding and reimbursement.

Modifiers may be applicable depending on the circumstances of the procedure (e.g., multiple procedures, bilateral procedures, etc.). Consult the CPT manual and NCCI edits for the most up-to-date information.

Medical necessity is established when the hyperkeratotic lesions are symptomatic (causing pain, discomfort, or impaired function) or pose a risk for infection (e.g., in diabetic patients).The documentation should clearly justify the need for surgical intervention.

The physician or qualified healthcare professional is responsible for pre-operative evaluation, prepping and anesthetizing the patient, evaluating the lesions, performing the excision or paring, applying antiseptic, and managing any pressure points. Post-operative care and follow-up may be separately reported.

IMPORTANT Codes 11055 and 11056 should be used for one and two to four lesions, respectively.Codes 17110 and 17111 are used for skin tags and cutaneous vascular proliferative lesions.

In simple words: The doctor removes more than four non-cancerous thickened skin areas (like corns or calluses) using a surgical tool like a small knife or scraper.They clean the area and may add padding to help with any pressure points.

This CPT code, 11057, describes the surgical removal of more than four benign hyperkeratotic lesions using instruments such as a scalpel or curette.The procedure involves evaluating the size, depth, and location of each lesion, followed by surgical excision or paring. Antiseptic application and pressure point management (padding) are included as part of the service.This code excludes the destruction of skin tags or cutaneous vascular proliferative lesions; for those, refer to codes 17110 and 17111.

Example 1: A patient presents with six corns on their feet, caused by ill-fitting shoes. The physician excises the corns using a scalpel. This scenario directly maps to code 11057., A patient with multiple calluses on their hands due to manual labor requires removal.The physician uses a curette to pare down the lesions and applies antiseptic dressing.This illustrates the use of different surgical instruments under this code., A diabetic patient presents with several hyperkeratotic lesions on their feet, posing a risk for infection.The physician removes these, documenting the number and location to justify medical necessity given the patient's diabetic condition. This highlights the clinical context and medical necessity aspect of using this code.

* Number of lesions excised.* Size and location of each lesion.* Type of instrument used (scalpel, curette, etc.).* Antiseptic used.* Type of dressing applied.* Photographs of lesions pre- and post-excision (recommended).* Documentation of medical necessity, especially in high-risk patients (e.g., diabetics).

** Always refer to the latest CPT coding manual and NCCI edits for complete and accurate billing guidelines.This information is for guidance only and does not constitute medical advice.

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