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CPT 11422: Excision of Benign Skin Lesion 1.1–2.0 cm
CPT code 11422 describes the surgical excision of a benign (noncancerous) skin lesion, excluding skin tags, with a diameter of 1.1 to 2.0 cm including margins. This code is widely used across outpatient dermatology and minor surgical settings for definitive removal of benign cutaneous lesions located on sensitive or cosmetically important areas such as the scalp, neck, hands, feet, and genitals. Nationally, accurate use of this code matters for consistent clinical documentation, billing integrity, and appropriate payment for minor surgical services.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of clinical intent and typical sites of service, plus what to expect in payer coverage patterns and benchmarking context. The publication summarizes common billing practices, allowed services under this code, and the clinical contexts that typically justify use of 11422.
The report provides benchmarks for utilization and reimbursement trends, highlights policy or coding clarifications that affect claim adjudication, and situates 11422 among related procedural codes for lesion excision. Data not available in the input is noted where applicable, and the content is organized to support coding teams, clinicians, and policy analysts who need a clear, national-level reference for CPT code 11422.
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Billing Code Overview
CPT code 11422 describes the excision of a noncancerous skin lesion (excluding a skin tag) measuring 1.1 to 2.0 cm in diameter, including margins. The procedure involves surgical removal of the lesion and surrounding tissue to ensure complete excision.
Service Type: Skin lesion excision, minor outpatient surgical procedure
Typical Site of Service: Scalp, neck, hands, feet, or genital skin; most often performed in outpatient dermatology or minor procedure clinics, ambulatory surgery centers, or physician office procedure rooms.