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CPT 11404: Excision of Benign Skin Lesion, Trunk/Arms/Legs 3.1–4.0 cm
CPT code 11404 represents the surgical excision of a noncancerous skin lesion (excluding skin tags) measuring 3.1 to 4.0 cm in diameter, including margins, from the trunk, arms, or legs. This code is widely used in outpatient dermatologic and general surgical practice and is important for accurate capture of operative complexity, resource utilization, and quality measurement for minor skin surgery. Nationally, correct coding of lesion size and anatomical site affects payment, clinical documentation, and comparative utilization reporting.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise review of the clinical circumstances that map to this code, common sites of service, and the typical service type. The publication provides benchmarks and coding guidance context such as relative service complexity and expected use in outpatient surgical settings, and it highlights policy-relevant points affecting reimbursement and documentation. Data not available in the input regarding associated taxonomies, specific ICD-10 pairings, or payer-specific edits will be identified as missing. This summary is intended for national audiences including coding professionals, clinicians, and policy analysts seeking a clear, practice-focused overview of CPT code 11404.
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Billing Code Overview
CPT code 11404 describes the excision of a benign skin lesion (excluding skin tag) with a diameter of 3.1 to 4.0 cm, including margins, from the skin of the trunk, arms, or legs. This procedure entails surgical removal of a noncancerous lesion with appropriate margins to ensure complete excision.
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Service type: Surgical excision of benign skin lesion
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Typical site of service: Outpatient surgical setting, ambulatory surgical center, or hospital outpatient department where minor dermatologic surgery is performed