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CPT 11055: Removal of Single Benign Hyperkeratotic Lesion
CPT code 11055 designates the surgical removal of a single benign hyperkeratotic lesion using instruments such as a scalpel or curette. This code captures a common, low-complexity dermatologic procedure performed in outpatient settings. Nationally, accurate reporting of this code affects procedure tracking, utilization monitoring, and appropriate payment for minor skin surgery.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise briefing on clinical context, typical sites of service, and common billing modifiers that may accompany this procedure (modifier list provided separately). The publication summarizes benchmark metrics where available, highlights coding and documentation considerations, and outlines policy updates or payer guidance relevant to minor dermatologic excisions.
This overview is intended for billing professionals, dermatology and primary care clinicians, and policy analysts seeking a clear understanding of the code’s clinical meaning, expected care settings, and implications for national billing practices. Data not available in the input will be noted explicitly in the detailed sections.
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Billing Code Overview
CPT code 11055 describes the removal of a single benign hyperkeratotic lesion using surgical instruments such as a scalpel or curette. This procedure is a minor surgical service directed at excising superficial, nonmalignant keratotic skin growths.
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Service type: Minor surgical excision of a benign skin lesion
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Typical site of service: Office-based dermatology or primary care procedure room, outpatient clinic, or ambulatory surgical setting
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