2025 CPT code 11421
(Active) Effective Date: N/A Surgery - Excision of Benign Lesions Surgery/Integumentary System Feed
Excision of a benign lesion (excluding skin tags) on the scalp, neck, hands, feet, or genitalia, measuring 0.6 to 1.0 cm in diameter, including margins, with simple closure.
Modifiers may be applicable, such as modifier 59 for distinct procedural services.
Medical necessity must be established for the excision.This may include symptoms such as pain, bleeding, or interference with function, or cosmetic concerns, or suspicion of malignancy.
The physician performs the excision, ensures appropriate anesthesia, prepares the surgical site, removes the lesion with appropriate margins, controls bleeding, closes the wound with simple closure, and submits the specimen for analysis if necessary.
In simple words: Removal of a non-cancerous skin growth, not a skin tag, between 0.6 and 1.0 cm in size, from the scalp, neck, hands, feet, or genitals. This includes removing the entire growth and some surrounding skin, and then closing the wound with stitches.
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.6 to 1.0 cm. This includes full-thickness removal of the lesion and margins, and simple (non-layered) closure.Each lesion is reported separately.
Example 1: A patient presents with a 0.8 cm benign cyst on the scalp. The physician excises the cyst with appropriate margins and closes the wound with simple sutures., A patient has a 0.7 cm benign nevus on the hand. The physician excises the nevus and closes the defect with a simple closure., A patient has a 0.9 cm dermatofibroma on the foot. The physician excises the lesion and performs a simple closure.
Documentation should include the location and size of the lesion, the diagnosis, the margins excised, the method of closure, and any complications.
** The ZIP code 11421 is associated with Woodhaven, Queens, New York. This information is irrelevant to the medical billing code 11421.iFrameAI does not provide specific RVU information.
- Revenue Code: P5A
- Payment Status: Active
- Specialties:Dermatology, Family Medicine, General Surgery, Plastic Surgery
- Place of Service:Office, Outpatient Hospital, Ambulatory Surgical Center