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CPT 11300: Removal of Epidermal or Dermal Lesion ≤0.5 cm
CPT code 11300 covers the removal of a single epidermal or dermal lesion 0.5 cm or smaller located on the trunk, arms, or legs. This procedure represents a common minor dermatologic surgical service delivered in outpatient settings and office clinics and is relevant to national billing and utilization because of its frequency in primary care, dermatology, and surgical practices.
Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of clinical context, typical sites of service, and payer coverage considerations. The publication summarizes common billing practices, benchmarks for service classification, and contextual policy considerations that affect coding and claims processing for minor skin lesion removals.
The analysis provides clinical context for appropriate use of 11300, benchmarks for utilization and billing patterns, and notes on national payer coverage trends and documentation expectations. Data gaps from the input are identified where applicable; when specific payer policy details are not available, the text notes that information is not provided in the input.
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Billing Code Overview
CPT code 11300 describes the removal of a single epidermal or dermal lesion measuring 0.5 cm diameter or less from the trunk, arms, or legs. This is a minor surgical procedure typically classified as a lesion excision or destruction performed by a qualified clinician.
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Service type: Minor surgical skin lesion removal (excision/destruction)
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Typical site of service: Office, outpatient clinic, or ambulatory surgical setting on the trunk, arms, or legs
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