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The CPT® Code 11306 refers to the procedure of shaving an epidermal or dermal lesion that is classified as a single lesion located on specific areas of the body, including the scalp, neck, hands, feet, or genitalia. This procedure is indicated for lesions with a diameter ranging from 0.6 to 1.0 cm. During the shaving process, a physician typically administers local anesthesia to the area surrounding the lesion to minimize discomfort for the patient. The technique involves the use of a scalpel, which is positioned parallel to the skin's surface, allowing the physician to carefully excise the lesion at its base. To manage any potential bleeding that may occur during the procedure, electrocautery or chemical cautery may be employed. It is important to note that there are specific codes associated with different lesion sizes: CPT® Code 11305 is used for lesions measuring 0.5 cm or less, CPT® Code 11306 is designated for lesions between 0.6 cm and 1.0 cm, CPT® Code 11307 applies to lesions ranging from 1.1 cm to 2.0 cm, and CPT® Code 11308 is for lesions larger than 2.0 cm. This structured approach ensures accurate coding and billing for the procedure performed.
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The procedure associated with CPT® Code 11306 is indicated for the removal of a raised epidermal or dermal lesion that is singular in nature and located on the scalp, neck, hands, feet, or genitalia. The specific criteria for this procedure include lesions that have a diameter measuring between 0.6 cm and 1.0 cm. This procedure is typically performed when the lesion is symptomatic, potentially causing discomfort, or when there is a need for diagnostic evaluation or cosmetic improvement.
The procedure for CPT® Code 11306 involves several key steps that ensure the effective removal of the lesion. First, the physician prepares the site by cleaning the area around the lesion to minimize the risk of infection. Following this, local anesthesia is administered to the patient to numb the area, ensuring that the procedure is as comfortable as possible. Once the anesthesia takes effect, the physician uses a scalpel, which is held parallel to the skin surface, to carefully shave the lesion off at its base. This technique allows for precise removal while preserving the surrounding healthy tissue. If any bleeding occurs during the procedure, the physician may utilize electrocautery or chemical cautery to control it effectively. After the lesion has been removed, the site may be dressed appropriately to promote healing and protect against infection.
After the procedure coded as CPT® 11306, the patient may be advised on specific post-procedure care to ensure proper healing. This may include instructions to keep the area clean and dry, as well as guidance on how to change any dressings if applicable. Patients are typically advised to monitor the site for any signs of infection, such as increased redness, swelling, or discharge. Follow-up appointments may be scheduled to assess the healing process and to remove any sutures if they were used. It is essential for patients to adhere to the post-procedure instructions provided by the physician to facilitate optimal recovery.
| Short Descr | SHAVE SKIN LESION 0.6-1.0 CM | Medium Descr | SHAVING SKIN LESION 1 S/N/H/F/G DIAM 0.6-1.0 CM | Long Descr | Shaving of epidermal or dermal lesion, single lesion, scalp, neck, hands, feet, genitalia; lesion diameter 0.6 to 1.0 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. | XS | Separate structure, a service that is distinct because it was performed on a separate organ/structure | RT | Right side (used to identify procedures performed on the right side of the body) | LT | Left side (used to identify procedures performed on the left side of the body) | 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.) | XU | Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service | TA | Left foot, great toe | T5 | Right foot, great toe | T1 | Left foot, second digit | 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. | T6 | Right foot, second digit | T9 | Right foot, fifth digit | T7 | Right foot, third digit | T2 | Left foot, third digit | T4 | Left foot, fifth digit | GW | Service not related to the hospice patient's terminal condition | GC | This service has been performed in part by a resident under the direction of a teaching physician | GZ | Item or service expected to be denied as not reasonable and necessary | KX | Requirements specified in the medical policy have been met | CC | Procedure code change (use 'cc' when the procedure code submitted was changed either for administrative reasons or because an incorrect code was filed) | T8 | Right foot, fourth digit | 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.) | AG | Primary physician | 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 | CG | Policy criteria applied | CR | Catastrophe/disaster related | CS | Cost-sharing waived for specified covid-19 testing-related services that result in and order for or administration of a covid-19 test and/or used for cost-sharing waived preventive services furnished via telehealth in rural health clinics and federally qualified health centers during the covid-19 public health emergency | ER | Items and services furnished by a provider-based, off-campus emergency department | F2 | Left hand, third digit | F4 | Left hand, fifth digit | F5 | Right hand, thumb | F6 | Right hand, second digit | F7 | Right hand, third digit | FA | Left hand, thumb | GA | Waiver of liability statement issued as required by payer policy, individual case | GV | Attending physician not employed or paid under arrangement by the patient's hospice provider | 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 | PN | Non-excepted service provided at an off-campus, outpatient, provider-based department of a hospital | PO | Excepted service provided at an off-campus, outpatient, provider-based department of a hospital | 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 | 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 | Q8 | Two class b findings | SA | Nurse practitioner rendering service in collaboration with a physician | SG | Ambulatory surgical center (asc) facility service | T3 | Left foot, fourth digit | TL | Early intervention/individualized family service plan (ifsp) | UD | Medicaid level of care 13, as defined by each state | X2 | Continuous/focused services: for reporting services by clinicians whose expertise is needed for the ongoing management of a chronic disease or a condition that needs to be managed and followed with no planned endpoint to the relationship; reporting clinician service examples include but are not limited to: a rheumatologist taking care of the patient's rheumatoid arthritis longitudinally but not providing general primary care services | 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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