2025 CPT code 11107
(Active) Effective Date: N/A Revision Date: N/A Surgery - Biopsy Integumentary System Feed
Incisional biopsy of skin (e.g., wedge), each separate/additional lesion.Reported with 11106.
Modifiers may be applicable based on circumstances (e.g., 59 for distinct procedural service, 76 for repeat procedure, etc.).
The medical necessity for an incisional biopsy is established when a physician determines there is a need to obtain a tissue sample for pathological examination to diagnose a suspected skin lesion. This is especially important for deep or extensive lesions where a full-thickness biopsy is required for proper diagnosis.
The physician or qualified healthcare professional performs the procedure, including prepping the patient, local anesthesia administration, making the incision to remove the tissue, wound closure (if performed), and sending the tissue to pathology for analysis.
In simple words: The doctor takes a small sample of tissue from a deep skin problem to check for disease. This code is only used if the doctor takes extra samples from other areas on the same day.
Incisional biopsy of skin, using a sharp blade to remove a full-thickness tissue sample via a vertical incision or wedge, penetrating deep to the dermis into the subcutaneous space. This procedure obtains a tissue sample for diagnostic pathologic examination and may sample subcutaneous fat, as in panniculitis evaluation. Simple closure is usually performed but not separately reported.This code (11107) is reported in addition to 11106 for each additional lesion biopsied using the incisional technique.
Example 1: A patient presents with a large, deep ulcer on their leg. The physician performs an incisional biopsy of the ulcer (11106) and also takes an additional incisional biopsy from a smaller, suspicious area nearby (11107)., A patient has multiple suspicious skin lesions. The physician performs an incisional biopsy on the largest lesion (11106), then performs additional incisional biopsies on two other separate lesions (11107 x 2). , A patient presents with a deep subcutaneous nodule. The physician performs an incisional biopsy to assess for panniculitis (11106 + 11107).
** This code is an add-on code and must be reported with 11106. It is only used for additional incisional biopsies of separate lesions on the same date of service.The use of 11107 indicates that the incisional biopsy procedure was performed independently of other procedures or services on the same date.
- Revenue Code: P6C (Minor Procedures - Other)
- Payment Status: Active
- Modifier TC rule: Not applicable.
- Specialties:Dermatology, General Surgery, Plastic Surgery
- Place of Service:Office, Outpatient Hospital, Ambulatory Surgical Center