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The CPT® Code 11307 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 1.1 to 2.0 centimeters. During the shaving process, the physician typically administers local anesthesia to ensure patient comfort at the site of excision. The technique involves the use of a scalpel, which is held parallel to the skin surface, allowing the physician to carefully remove the lesion at its base. To manage any bleeding that may occur during the procedure, electrocautery or chemical cautery may be employed. It is important to note that there are specific codes for lesions of varying sizes: CPT® Code 11305 is designated for lesions measuring 0.5 cm or less, CPT® Code 11306 is for lesions measuring between 0.6 cm and 1.0 cm, CPT® Code 11307 is applicable for lesions between 1.1 cm and 2.0 cm, and CPT® Code 11308 is used for lesions larger than 2.0 cm. This structured approach to coding ensures accurate representation of the procedure performed and facilitates appropriate billing and reimbursement processes.
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The procedure associated with CPT® Code 11307 is indicated for the removal of a single epidermal or dermal lesion located on the scalp, neck, hands, feet, or genitalia. The specific criteria for this procedure include lesions that have a diameter ranging from 1.1 to 2.0 centimeters. This procedure is typically performed when the lesion is raised and may require excision for reasons such as cosmetic concerns, potential malignancy, or symptomatic relief.
The procedure for CPT® Code 11307 involves several key steps that ensure the effective removal of the lesion. First, the physician prepares the area by cleaning the skin surrounding the lesion to minimize the risk of infection. Following this, local anesthesia is administered to the patient to numb the area, ensuring comfort during the procedure. 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. In cases where bleeding occurs, the physician may utilize electrocautery or chemical cautery to control and minimize blood loss, ensuring a clean excision. After the lesion is removed, the site may be dressed appropriately to promote healing and protect against infection.
After the procedure associated with CPT® Code 11307, the patient is typically advised on post-operative care to ensure proper healing and minimize complications. This may include instructions to keep the area clean and dry, as well as guidance on how to change the dressing if applicable. Patients are often 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. Additionally, patients should be informed about potential changes in the appearance of the skin at the excision site and the importance of avoiding sun exposure to promote optimal healing.
| Short Descr | SHAVE SKIN LESION 1.1-2.0 CM | Medium Descr | SHAVING SKIN LESION 1 S/N/H/F/G DIAM 1.1-2.0 CM | Long Descr | Shaving of epidermal or dermal lesion, single lesion, scalp, neck, hands, feet, genitalia; 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 | Procedure or Service, Multiple Reduction Applies | ASC Payment Indicator | Office-based surgical procedure added to ASC list in CY 2008 or later with MPFS nonfacility PE RVUs; payment based on MPFS nonfacility PE RVUs. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P6A - Minor procedures - skin | MUE | 3 | 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) | 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.) | 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. | LT | Left side (used to identify procedures performed on the left side of the body) | T5 | Right foot, great toe | TA | Left foot, great toe | XU | Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service | T6 | Right foot, second digit | T7 | Right foot, third digit | T9 | Right foot, fifth 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. | T2 | Left foot, third digit | T1 | Left foot, second digit | GZ | Item or service expected to be denied as not reasonable and necessary | GA | Waiver of liability statement issued as required by payer policy, individual case | PN | Non-excepted service provided at an off-campus, outpatient, provider-based department of a hospital | 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) | CC | Procedure code change (use 'cc' when the procedure code submitted was changed either for administrative reasons or because an incorrect code was filed) | F1 | Left hand, second digit | F7 | Right hand, third digit | GC | This service has been performed in part by a resident under the direction of a teaching physician | GV | Attending physician not employed or paid under arrangement by the patient's hospice provider | GW | Service not related to the hospice patient's terminal condition | 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 | KX | Requirements specified in the medical policy have been met | 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 | 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 | Q9 | One class b and two class c findings | SA | Nurse practitioner rendering service in collaboration with a physician | T3 | Left foot, fourth digit | T4 | Left foot, fifth digit | T8 | Right foot, fourth digit | UD | Medicaid level of care 13, as defined by each state | 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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