2025 CPT code 11201
(Active) Effective Date: N/A Revision Date: N/A Surgery - Integumentary System Surgery Feed
Removal of skin tags, multiple fibrocutaneous tags, any area; each additional 10 lesions, or part thereof (List separately in addition to code for primary procedure)
Modifiers may be applicable, such as modifier 59 (Distinct Procedural Service) if the additional skin tag removal (11201) is performed on a separate anatomical site than the initial 15 lesions removed under 11200.Other modifiers may be necessary for reduced services, discontinued procedures, etc.
Medical necessity must be established for both 11200 and 11201. Reasons for removal could include irritation, bleeding, pain, interference with clothing or daily activities, or cosmetic reasons documented by the patient.Insurance coverage varies.
After prepping the patient and removing an initial set of lesions, the provider examines and removes up to 10 additional skin tags using tools like forceps, scissors, or a blade. Anesthesia may not be necessary for smaller tags. An antibiotic is applied post-removal.
In simple words: This code covers the removal of up to 10 extra skin tags after the first 15 have already been removed during the same visit.It's an additional charge on top of the main procedure.
This code describes the removal of up to 10 additional skin tags from any area of the body, following the initial removal of 15 skin tags.It is used as an add-on code to 11200 and is reported separately.
Example 1: A patient presents with multiple skin tags on their neck and armpits. 15 skin tags are removed (11200), and an additional 8 are removed during the same visit (11201)., A patient has 22 skin tags removed from their back and groin. 15 are initially addressed (11200) and 7 more are removed immediately after (11201)., A patient undergoes removal of 15 skin tags on their face (11200).During the procedure, the provider identifies 5 more small skin tags in the same area, which are also removed (11201).
Documentation should include the number and location of skin tags removed, the method used for removal, and any anesthesia used. It must also support the medical necessity for the removal of the additional skin tags.
** Insurance coverage for skin tag removal can vary, and pre-authorization might be required. Patients should check with their individual providers for specific coverage details.
- Revenue Code: P5A
- Specialties:Dermatology, Family Practice, General Surgery, Plastic Surgery
- Place of Service:Office, Outpatient Hospital, Ambulatory Surgical Center