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The procedure described by CPT® Code 11302 involves the shaving of a single epidermal or dermal lesion located on the trunk, arms, or legs, specifically when the lesion has a diameter ranging from 1.1 to 2.0 cm. This technique is commonly utilized for the removal of various types of lesions, including pedunculated lesions, seborrheic keratoses, fibrous papules, and other similar growths that possess a minimal dermal component. The shaving procedure is designed to extend only to the middle dermis, ensuring that the underlying subcutaneous layer remains intact, which is crucial for preserving the integrity of the surrounding tissue. Prior to the shaving process, the area is thoroughly cleansed, and a local anesthetic is administered to minimize discomfort for the patient. The actual removal of the lesion is performed using a surgical blade, which may involve making transverse incisions or executing repetitive horizontal slicing motions in the same direction to effectively excise the lesion. Following the removal, the physician inspects the surrounding tissue to confirm that the entire lesion has been excised. To finalize the procedure, the edges of the wound are smoothed, and any bleeding is controlled through the use of electrocautery or chemical cautery. Additionally, the excised lesion is sent to a laboratory for histologic evaluation, which is separately reportable. It is important to note that there are specific CPT® codes designated for lesions of varying sizes: 11300 for lesions measuring 0.5 cm or less, 11301 for lesions measuring 0.6-1.0 cm, 11302 for lesions measuring 1.1-2.0 cm, and 11303 for lesions exceeding 2.0 cm in diameter.
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The shaving of epidermal or dermal lesions using CPT® Code 11302 is indicated for the removal of specific types of skin lesions that fall within the defined size range. The following conditions or symptoms may warrant this procedure:
The procedure for shaving an epidermal or dermal lesion as described by CPT® Code 11302 involves several key steps to ensure effective removal while minimizing patient discomfort and preserving surrounding tissue integrity. The first step is to thoroughly cleanse the area surrounding the lesion to reduce the risk of infection. Following this, a local anesthetic is administered to numb the area, ensuring that the patient experiences minimal pain during the procedure. Once the area is prepared, the physician uses a surgical blade to perform the shaving. This is typically done by making transverse incisions or by executing repetitive horizontal slicing motions in the same direction, which allows for the precise removal of the lesion. The physician must carefully inspect the surrounding tissue during the procedure to confirm that the entire lesion has been excised. After the lesion is removed, the edges of the wound are smoothed to promote proper healing. To control any bleeding that may occur during the procedure, electrocautery or chemical cautery is employed. Finally, the excised lesion is sent to a laboratory for histologic evaluation, which is a separate reportable service that provides important information regarding the nature of the lesion.
After the shaving procedure is completed, the patient may be advised on specific post-procedure care to ensure optimal healing and minimize complications. This may include instructions to keep the area clean and dry, as well as recommendations for any topical treatments that may be applied to promote healing. Patients are typically advised to monitor the site for signs of infection, such as increased redness, swelling, or discharge. Follow-up appointments may be scheduled to assess the healing process and to discuss the results of the histologic evaluation of the excised lesion. It is important for patients to adhere to the post-procedure care instructions provided by their healthcare provider to facilitate a smooth recovery.
| Short Descr | SHAVE SKIN LESION 1.1-2.0 CM | Medium Descr | SHVG SKN LESION 1 TRUNK/ARM/LEG DIAM 1.1-2.0 CM | Long Descr | Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 1.1 to 2.0 cm | Status Code | Active Code | Global Days | 000 - Endoscopic or Minor Procedure | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 9 - Concept does not apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 0 - Payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | STV-Packaged Codes | ASC Payment Indicator | Packaged service/item; no separate payment made. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P6A - Minor procedures - skin | MUE | 4 | CCS Clinical Classification | 170 - Excision of skin lesion |
| 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | 76 | Repeat procedure or service by same physician or other qualified health care professional: it may be necessary to indicate that a procedure or service was repeated by the same physician or other qualified health care professional subsequent to the original procedure or service. this circumstance may be reported by adding modifier 76 to the repeated procedure or service. note: this modifier should not be appended to an e/m service. | 79 | Unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period: the individual may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure. this circumstance may be reported by using modifier 79. (for repeat procedures on the same day, see modifier 76.) | XS | Separate structure, a service that is distinct because it was performed on a separate organ/structure | XU | Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service | GC | This service has been performed in part by a resident under the direction of a teaching physician | 58 | Staged or related procedure or service by the same physician or other qualified health care professional during the postoperative period: it may be necessary to indicate that the performance of a procedure or service during the postoperative period was: (a) planned or anticipated (staged); (b) more extensive than the original procedure; or (c) for therapy following a surgical procedure. this circumstance may be reported by adding modifier 58 to the staged or related procedure. note: for treatment of a problem that requires a return to the operating/procedure room (eg, unanticipated clinical condition), see modifier 78. | KX | Requirements specified in the medical policy have been met | LT | Left side (used to identify procedures performed on the left side of the body) | PN | Non-excepted service provided at an off-campus, outpatient, provider-based department of a hospital | GW | Service not related to the hospice patient's terminal condition | GZ | Item or service expected to be denied as not reasonable and necessary | Q6 | Service furnished under a fee-for-time compensation arrangement by a substitute physician or by a substitute physical therapist furnishing outpatient physical therapy services in a health professional shortage area, a medically underserved area, or a rural area | 22 | Increased procedural services: when the work required to provide a service is substantially greater than typically required, it may be identified by adding modifier 22 to the usual procedure code. documentation must support the substantial additional work and the reason for the additional work (ie, increased intensity, time, technical difficulty of procedure, severity of patient's condition, physical and mental effort required). note: this modifier should not be appended to an e/m service. | 78 | Unplanned return to the operating/procedure room by the same physician or other qualified health care professional following initial procedure for a related procedure during the postoperative period: it may be necessary to indicate that another procedure was performed during the postoperative period of the initial procedure (unplanned procedure following initial procedure). when this procedure is related to the first, and requires the use of an operating/procedure room, it may be reported by adding modifier 78 to the related procedure. (for repeat procedures, see modifier 76.) | 95 | Synchronous telemedicine service rendered via a real-time interactive audio and video telecommunications system: synchronous telemedicine service is defined as a real-time interaction between a physician or other qualified health care professional and a patient who is located at a distant site from the physician or other qualified health care professional. the totality of the communication of information exchanged between the physician or other qualified health care professional and the patient during the course of the synchronous telemedicine service must be of an amount and nature that would be sufficient to meet the key components and/or requirements of the same service when rendered via a face-to-face interaction. modifier 95 may only be appended to the services listed in appendix p. appendix p is the list of cpt codes for services that are typically performed face-to-face, but may be rendered via a real-time (synchronous) interactive audio and video telecommunications system. | 99 | Multiple modifiers: under certain circumstances 2 or more modifiers may be necessary to completely delineate a service. in such situations modifier 99 should be added to the basic procedure, and other applicable modifiers may be listed as part of the description of the service. | AG | Primary physician | AM | Physician, team member service | AQ | Physician providing a service in an unlisted health professional shortage area (hpsa) | AS | Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery | CC | Procedure code change (use 'cc' when the procedure code submitted was changed either for administrative reasons or because an incorrect code was filed) | CG | Policy criteria applied | CR | Catastrophe/disaster related | F2 | Left hand, third digit | GA | Waiver of liability statement issued as required by payer policy, individual case | GE | This service has been performed by a resident without the presence of a teaching physician under the primary care exception | GV | Attending physician not employed or paid under arrangement by the patient's hospice provider | GX | Notice of liability issued, voluntary under payer policy | GY | Item or service statutorily excluded, does not meet the definition of any medicare benefit or, for non-medicare insurers, is not a contract benefit | PD | Diagnostic or related non diagnostic item or service provided in a wholly owned or operated entity to a patient who is admitted as an inpatient within 3 days | PO | Excepted service provided at an off-campus, outpatient, provider-based department of a hospital | Q1 | Routine clinical service provided in a clinical research study that is in an approved clinical research study | Q5 | Service furnished under a reciprocal billing arrangement by a substitute physician or by a substitute physical therapist furnishing outpatient physical therapy services in a health professional shortage area, a medically underserved area, or a rural area | RT | Right side (used to identify procedures performed on the right side of the body) | SA | Nurse practitioner rendering service in collaboration with a physician | SG | Ambulatory surgical center (asc) facility service | X4 | Episodic/focused services: for reporting services by clinicians who provide focused care on particular types of treatment limited to a defined period and circumstance; the patient has a problem, acute or chronic, that will be treated with surgery, radiation, or some other type of generally time-limited intervention; reporting clinician service examples include but are not limited to, the orthopedic surgeon performing a knee replacement and seeing the patient through the postoperative period | XE | Separate encounter, a service that is distinct because it occurred during a separate encounter |
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| 2013-01-01 | Changed | Short Descriptor changed. |
| 1993-01-01 | Added | First appearance in code book in 1993. |
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