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CPT 11421: Excision of Benign Skin Lesion 0.6–1.0 cm
Headline: CPT code 11421 defines excision of a benign skin lesion 0.6–1.0 cm, a common ambulatory dermatologic procedure.
Lead: CPT code 11421 covers surgical removal of noncancerous skin lesions between 0.6 and 1.0 cm in diameter from anatomically sensitive areas including the scalp, neck, hands, feet, and genitalia. The code is widely used across outpatient surgical settings and dermatology practices and is relevant to payers, surgeons, and facility billing teams.
Why it matters: Nationally, minor skin excisions represent a frequent source of surgical and office-based procedural billing. Accurate use of CPT code 11421 affects coding integrity, claims processing, and appropriate payment for procedures performed on anatomically sensitive sites where technique and closure may differ from other locations.
Payers covered: This analysis addresses coverage and billing contexts for Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare.
What readers will learn: The publication provides benchmarks and clinical context for CPT code 11421, including typical sites of service and service type, common payer considerations, and coding boundaries that distinguish this code from excisions of other sizes or malignant lesions. It summarizes typical clinical scenarios for use of the code and notes where additional documentation may be required for claims. Data not available in the input is indicated where applicable.
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Billing Code Overview
CPT code 11421 describes the excision of a benign (noncancerous) skin lesion, excluding skin tags, measuring 0.6 to 1.0 cm in diameter (including margins). The procedure involves surgical removal of the lesion and closure of the wound.
Service Type: Surgical skin lesion excision
Typical Site of Service: Scalp, neck, hands, feet, or genitals