{"id":180164,"date":"2026-08-17T06:04:08","date_gmt":"2026-08-17T06:04:08","guid":{"rendered":"https:\/\/pabau.com\/?p=180164"},"modified":"2026-08-18T12:59:56","modified_gmt":"2026-08-18T12:59:56","slug":"cpt-code-11302","status":"publish","type":"post","link":"https:\/\/pabau.com\/de\/procedure-codes\/cpt-code-11302\/","title":{"rendered":"CPT code 11302: Shaving of epidermal or dermal lesion"},"content":{"rendered":"\n<script type=\"application\/ld+json\">{\"@context\":\"https:\/\/schema.org\",\"@type\":\"MedicalWebPage\",\"headline\":\"CPT code 11302: Shaving of epidermal or dermal lesion, trunk, arms, or legs, 1.1-2.0 cm\",\"description\":\"CPT code 11302 billing reference for shave removal of a 1.1 to 2.0 cm lesion of the trunk, arms, or legs. Covers 2026 RVUs, reimbursement, modifiers, ICD-10 pairings, and documentation requirements.\",\"url\":\"https:\/\/pabau.com\/procedure-codes\/cpt-code-11302\/\",\"audience\":{\"@type\":\"MedicalAudience\",\"audienceType\":\"Clinician\"},\"reviewedBy\":{\"@type\":\"Person\",\"name\":\"Dr Vanja Kitanova\",\"jobTitle\":\"Medical Reviewer\",\"affiliation\":{\"@type\":\"Organization\",\"name\":\"Pabau\"},\"knowsAbout\":[\"Medical Coding\",\"Clinical Documentation\",\"Healthcare Billing\",\"Clinical Safety\"],\"sameAs\":\"https:\/\/pabau.com\/blog\/author\/vanja\/\"},\"datePublished\":\"2026-08-08\",\"dateModified\":\"2026-08-17\"}<\/script>\n\n\n        <div id=\"key_takeaways\">\n            <div class=\"header\">\n                                    <img decoding=\"async\" src=\"https:\/\/pabau.com\/wp-content\/uploads\/2025\/12\/Key-Takeaways-Icon.svg\" alt=\"Key takeaways\" height=\"42\" width=\"42\">\n                                <h3>Key takeaways<\/h3>\n            <\/div>\n            <div class=\"list\">\n                                                            <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>CPT code 11302 covers the shave removal of a single epidermal or dermal lesion measuring 1.1 to 2.0 cm on the trunk, an arm, or a leg. Both conditions have to be true, not just one.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>The code is easy to confuse with its neighbors. A 0.6 to 1.0 cm lesion on the same sites is 11301, and the same size lesion on the face is 11312 instead.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>Selection turns on two documented variables only: the anatomic group and the diameter measured before removal. Shave codes never take a surgical margin, unlike the excision family.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>Technique and intent, not the diagnosis, decide whether a removal is a shave, a biopsy, or an excision. Billing a shave code for what was really a tangential biopsy invites a denial.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>In 2026 the code carries 1.02 work RVUs and 3.94 total non-facility RVUs, worth roughly $132 nationally before geographic adjustment. Facility payment is far lower, at 1.45 RVU.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>Modifiers 25, 51, and 59 (or XS) each answer a different question about the visit, and attaching the wrong one is a routine denial source. Laterality matters too: the limb-specific ICD-10 pairings read as incomplete without it.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>A defensible claim documents the site, the pre-removal diameter in centimeters, the technique, and the clinical indication. Missing any one of those four is a frequent reason this code gets denied on review.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>Practice management software like Pabau keeps the site, the measurement, and the indication in one patient record, so your coder and any auditor read the same note.<\/p>\n                        <\/div>\n                                                <\/div>\n        <\/div>\n    \n\n\n<p class=\"wp-block-paragraph\"><strong>CPT code 11302<\/strong> bills the shave removal of a single epidermal or dermal lesion on the trunk, arms, or legs. Specifically, the lesion has to measure 1.1 to 2.0 cm.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">That size band is where the code goes wrong most often. A 0.8 cm lesion on the forearm is 11301, and a claim that reaches for 11302 instead comes back for rework.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The <strong>American Medical Association (AMA)<\/strong> owns the CPT code set, and it splits the shaving family into three anatomic series. Each series repeats the same four size tiers. So the site you pick and the number you write both change what the claim pays.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Below you get the official descriptor, the selection matrix for the whole family, and the 2026 RVUs and payment amounts. In addition, modifiers, ICD-10 pairings, documentation requirements, and the usual denial patterns follow.<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe title=\"CPT Coding Pitfalls Every Medical Practice Faces\" width=\"800\" height=\"450\" src=\"https:\/\/www.youtube.com\/embed\/vbvV5okdXKg?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n\n\n<h2 id=\"h-cpt-code-11302-definition-and-clinical-description\" class=\"wp-block-heading\">CPT code 11302: definition and clinical description<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>CPT code 11302<\/strong> describes the shaving of a single epidermal or dermal lesion measuring 1.1 to 2.0 cm. Specifically, the listed sites are the trunk, the arms, and the legs.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The code sits in the Integumentary System section of the CPT manual. Its subsection, Shaving of Epidermal or Dermal Lesions, runs from 11300 to 11313. According to the AMA CPT code set, shaving means sharp removal with a blade or razor.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Instead, no full-thickness dermal excision is performed. The lesion comes off at or just below the plane of the surrounding skin, and the base is left to heal by secondary intention.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Chemical or electrocauterization of the wound is part of the same service. So you do not report it separately, and no suture closure is involved.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Sending the specimen to pathology is optional and does not change the code. However, intent does change it. A tangential biopsy taken for diagnosis belongs to <a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-11102\/\" rel=\"noopener\">11102<\/a> and <a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-11103\/\" rel=\"noopener\">11103<\/a> instead.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Two conditions must both be true before you report 11302. The lesion sits on the trunk, an arm, or a leg, and the measured diameter falls between 1.1 and 2.0 cm. In other words, either one on its own is not enough.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Field<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Detail<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Long description<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 1.1 to 2.0 cm<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Short description<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Shave skin lesion 1.1-2.0 cm<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">CPT section<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Integumentary System<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Subsection<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Shaving of Epidermal or Dermal Lesions (11300-11313)<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Code type<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Therapeutic procedure (Category I CPT)<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Anatomic sites<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Trunk, arms, legs<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Lesion diameter<\/td>\n<td style=\"padding:12px 16px;color:#374151\">1.1 to 2.0 cm<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Global period<\/td>\n<td style=\"padding:12px 16px;color:#374151\">000 (no postoperative period)<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Multiple procedure indicator<\/td>\n<td style=\"padding:12px 16px;color:#374151\">2 (standard reduction applies to additional procedures)<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Bilateral surgery indicator<\/td>\n<td style=\"padding:12px 16px;color:#374151\">9 (the bilateral payment rule does not apply)<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<h2 id=\"h-how-to-choose-between-11302-and-the-adjacent-shave-removal-codes\" class=\"wp-block-heading\">How to choose between 11302 and the adjacent shave removal codes<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The shaving family works as a grid. Three anatomic series run across it, and four size tiers run down each one. So, pick the wrong row or the wrong column and you have the wrong code.<\/p>\n\n\n\n<h3 id=\"h-the-anatomic-series-and-size-tiers\" class=\"wp-block-heading\">The anatomic series and size tiers<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">The trunk, arms, and legs series runs 11300 to 11303. Similarly, the scalp, neck, hands, feet, and genitalia series runs 11305 to 11308. Likewise, the face, ears, eyelids, nose, lips, and mucous membrane series runs 11310 to 11313.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Every series steps through the same four tiers. Specifically, they run 0.5 cm or less, 0.6 to 1.0 cm, 1.1 to 2.0 cm, then over 2.0 cm. CPT 11302 is the third tier of the first series.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The matrix below carries the 2026 total non-facility RVU for each code, taken from the CMS <a href=\"https:\/\/www.cms.gov\/medicare\/payment\/fee-schedules\/physician\/pfs-relative-value-files\" target=\"_blank\" rel=\"nofollow noopener\">relative value files<\/a>.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">CPT code<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Anatomic group<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Lesion diameter<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">2026 total non-facility RVU<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\"><a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-11300\/\" rel=\"noopener\">11300<\/a><\/td>\n<td style=\"padding:12px 16px;color:#374151\">Trunk, arms, or legs<\/td>\n<td style=\"padding:12px 16px;color:#374151\">0.5 cm or less<\/td>\n<td style=\"padding:12px 16px;color:#374151\">2.89<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\"><a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-11301\/\" rel=\"noopener\">11301<\/a><\/td>\n<td style=\"padding:12px 16px;color:#374151\">Trunk, arms, or legs<\/td>\n<td style=\"padding:12px 16px;color:#374151\">0.6 to 1.0 cm<\/td>\n<td style=\"padding:12px 16px;color:#374151\">3.48<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\"><strong>11302<\/strong><\/td>\n<td style=\"padding:12px 16px;color:#374151\"><strong>Trunk, arms, or legs<\/strong><\/td>\n<td style=\"padding:12px 16px;color:#374151\"><strong>1.1 to 2.0 cm<\/strong><\/td>\n<td style=\"padding:12px 16px;color:#374151\"><strong>3.94<\/strong><\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">11303<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Trunk, arms, or legs<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Over 2.0 cm<\/td>\n<td style=\"padding:12px 16px;color:#374151\">4.41<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">11305<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Scalp, neck, hands, feet, genitalia<\/td>\n<td style=\"padding:12px 16px;color:#374151\">0.5 cm or less<\/td>\n<td style=\"padding:12px 16px;color:#374151\">3.03<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">11306<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Scalp, neck, hands, feet, genitalia<\/td>\n<td style=\"padding:12px 16px;color:#374151\">0.6 to 1.0 cm<\/td>\n<td style=\"padding:12px 16px;color:#374151\">3.53<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">11307<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Scalp, neck, hands, feet, genitalia<\/td>\n<td style=\"padding:12px 16px;color:#374151\">1.1 to 2.0 cm<\/td>\n<td style=\"padding:12px 16px;color:#374151\">3.96<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\"><a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-11308\/\" rel=\"noopener\">11308<\/a><\/td>\n<td style=\"padding:12px 16px;color:#374151\">Scalp, neck, hands, feet, genitalia<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Over 2.0 cm<\/td>\n<td style=\"padding:12px 16px;color:#374151\">4.21<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\"><a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-11310\/\" rel=\"noopener\">11310<\/a><\/td>\n<td style=\"padding:12px 16px;color:#374151\">Face, ears, eyelids, nose, lips, mucous membrane<\/td>\n<td style=\"padding:12px 16px;color:#374151\">0.5 cm or less<\/td>\n<td style=\"padding:12px 16px;color:#374151\">3.34<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\"><a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-11311\/\" rel=\"noopener\">11311<\/a><\/td>\n<td style=\"padding:12px 16px;color:#374151\">Face, ears, eyelids, nose, lips, mucous membrane<\/td>\n<td style=\"padding:12px 16px;color:#374151\">0.6 to 1.0 cm<\/td>\n<td style=\"padding:12px 16px;color:#374151\">3.96<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\"><a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-11312\/\" rel=\"noopener\">11312<\/a><\/td>\n<td style=\"padding:12px 16px;color:#374151\">Face, ears, eyelids, nose, lips, mucous membrane<\/td>\n<td style=\"padding:12px 16px;color:#374151\">1.1 to 2.0 cm<\/td>\n<td style=\"padding:12px 16px;color:#374151\">4.51<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\"><a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-11313\/\" rel=\"noopener\">11313<\/a><\/td>\n<td style=\"padding:12px 16px;color:#374151\">Face, ears, eyelids, nose, lips, mucous membrane<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Over 2.0 cm<\/td>\n<td style=\"padding:12px 16px;color:#374151\">5.29<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">The last column shows what a wrong tier costs. For example, a 1.4 cm trunk lesion billed as 11301 gives up 0.46 RVU, which is roughly $15 per lesion at the 2026 national rate.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The wrong series costs more. The same 1.4 cm lesion on the cheek is 11312, worth 4.51 RVU, so coding it here surrenders 0.57 RVU.<\/p>\n\n\n\n<h3 id=\"h-measuring-lesion-diameter-correctly\" class=\"wp-block-heading\">Measuring lesion diameter correctly<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Measure the lesion before you remove it, and record the greatest clinical diameter in centimeters. As a result, a ruler measurement in the pre-procedure note is the defensible standard.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Shave removal codes take the lesion diameter alone. Unlike the excision codes, you never add a surgical margin to reach the size tier.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Likewise, do not work backward from the pathology report either. Tissue contracts in formalin, so a specimen measured after fixation will usually undersize the lesion you treated.<\/p>\n\n\n        <div id=\"pro_tip\">\n            <div class=\"img\">\n                <svg width=\"42\" height=\"42\" viewBox=\"0 0 42 42\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M12.6383 19.5238C12.6632 21.2071 12.8734 22.9926 12.0685 24.5523C11.0341 26.8917 8.45076 28.169 7.56292 30.5918C6.63082 33.1061 7.19505 36.185 9.31371 37.9786C10.929 39.5678 13.4183 39.9873 15.6061 39.5463C17.4592 39.073 19.1049 37.8388 19.9706 36.1608C20.781 34.7141 20.7866 32.9904 20.5293 31.3985C20.1006 29.3092 18.3775 27.8705 16.9807 26.362C14.8814 24.1005 14.6684 20.6854 15.595 17.8915C16.4331 15.4768 19.0026 14.2344 20.0425 11.9461C20.7202 10.6769 20.7506 9.20327 20.6068 7.81304C20.1864 5.40098 18.3139 3.23631 15.8716 2.56674C13.9742 2.03969 11.8224 2.30052 10.1739 3.37614C8.70522 4.34688 7.5878 5.86618 7.28356 7.58178C6.76081 9.82981 7.53525 12.2822 9.20307 13.9118C10.7658 15.4741 12.4806 17.2273 12.6383 19.5238Z\"\n                        fill=\"#2BADD4\" \/>\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M22.7048 19.8387C22.6822 22.3279 24.4507 24.6234 26.7493 25.4682C28.0531 25.961 29.4725 25.9183 30.7989 25.5487C32.0575 24.9955 33.301 24.2237 34.0069 23.0092C34.8384 21.5811 35.2982 19.8286 34.7832 18.2094C34.3611 16.2507 32.8739 14.6541 31.0275 13.9426C28.6736 12.9595 25.8073 13.7942 24.1719 15.7001C23.2022 16.8366 22.6143 18.3326 22.7048 19.8387Z\"\n                        fill=\"#2BADD4\" \/>\n                <\/svg>\n            <\/div>\n            <div class=\"text\">\n                <h3>Pro Tip<\/h3>\n                <p>A lesion measuring 1.0 cm exactly is 11301. By contrast, a lesion measuring 1.1 cm is 11302. So write the number itself in the note rather than a range, because &#8222;approximately 1 cm&#8220; will not support either code on review.<\/p>\n            <\/div>\n        <\/div>\n    \n\n\n<h2 id=\"h-shave-removal-vs-biopsy-vs-excision\" class=\"wp-block-heading\">Shave removal vs. biopsy vs. excision<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Three code families can describe taking something off the skin. Instead, technique and intent decide which one applies, and the diagnosis has nothing to do with it.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Technique<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">CPT family<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Wound closure<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Pathology common?<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Shave removal<\/td>\n<td style=\"padding:12px 16px;color:#374151\">11300-11313<\/td>\n<td style=\"padding:12px 16px;color:#374151\">No suture, heals by secondary intention<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Optional<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Tangential biopsy<\/td>\n<td style=\"padding:12px 16px;color:#374151\">11102-11103<\/td>\n<td style=\"padding:12px 16px;color:#374151\">No suture required<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Required, that is the point<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Excision (benign)<\/td>\n<td style=\"padding:12px 16px;color:#374151\">11400-11471<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Suture closure typical<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Usual<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Destruction<\/td>\n<td style=\"padding:12px 16px;color:#374151\">17000-17286<\/td>\n<td style=\"padding:12px 16px;color:#374151\">None<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Rarely<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">Medicare article A57113 is explicit on the first two rows. Specifically, do not report a shave removal code when the procedure performed was a tangential biopsy of the lesion.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The excision comparison matters at this size. For example, CPT <a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-11402\/\" rel=\"noopener\">11402<\/a> covers excision of a benign trunk or extremity lesion in the same 1.1 to 2.0 cm band, margins included.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">11402 carries 5.12 total non-facility RVUs and a 010-day global period. By contrast, 11302 carries 3.94 and a 000-day global period, so a related visit two days later is still separately billable.<\/p>\n\n\n\n<h2 id=\"h-cpt-11302-rvu-values-for-2026\" class=\"wp-block-heading\">CPT 11302 RVU values for 2026<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Relative value units are the basis of Medicare payment under the Physician Fee Schedule. Specifically, work RVU covers clinician time and skill, and malpractice RVU covers professional liability.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Practice expense RVU covers overhead, and it splits by setting. In fact, office overhead and hospital overhead are not the same thing. The figures below come from the CMS relative value file for calendar year 2026.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">RVU component<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">2026 value<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Work RVU<\/td>\n<td style=\"padding:12px 16px;color:#374151\">1.02<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Practice expense RVU (non-facility)<\/td>\n<td style=\"padding:12px 16px;color:#374151\">2.83<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Practice expense RVU (facility)<\/td>\n<td style=\"padding:12px 16px;color:#374151\">0.34<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Malpractice RVU<\/td>\n<td style=\"padding:12px 16px;color:#374151\">0.09<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Total RVU (non-facility)<\/td>\n<td style=\"padding:12px 16px;color:#374151\">3.94<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Total RVU (facility)<\/td>\n<td style=\"padding:12px 16px;color:#374151\">1.45<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">The two settings pay very differently. The office total is nearly three times the facility total, because the practice absorbs the tray, the room, and the staff time.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Check the current year before you use these numbers in a compensation model. For instance, the <a href=\"https:\/\/www.cms.gov\/medicare\/physician-fee-schedule\/search\/overview\" target=\"_blank\" rel=\"nofollow noopener\">CMS fee schedule tool<\/a> returns the locality-adjusted figures.<\/p>\n\n\n\n<h2 id=\"h-reimbursement-rates-for-cpt-code-11302\" class=\"wp-block-heading\">Reimbursement rates for CPT code 11302<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Medicare payment is the total RVU multiplied by the annual conversion factor, then adjusted for your locality. For 2026 there are two conversion factors.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Qualifying alternative payment model participants are paid at $33.5675. By contrast, everyone else is paid at $33.4009. The national amounts below apply the second figure and carry no geographic adjustment.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Setting<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Total RVU<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">2026 national amount<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Non-facility (office)<\/td>\n<td style=\"padding:12px 16px;color:#374151\">3.94<\/td>\n<td style=\"padding:12px 16px;color:#374151\">$131.60<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Facility (hospital outpatient or ambulatory surgery center)<\/td>\n<td style=\"padding:12px 16px;color:#374151\">1.45<\/td>\n<td style=\"padding:12px 16px;color:#374151\">$48.43<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">Your actual payment will differ. Geographic practice cost indices move each locality up or down, and commercial payers set their own multiples of the Medicare rate. So treat these figures as a national baseline rather than a quote.<\/p>\n\n\n\n<h3 id=\"h-medicare-coverage-and-medical-necessity\" class=\"wp-block-heading\">Medicare coverage and medical necessity<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Medicare covers shave removal when medical necessity is documented, and not otherwise. Specifically, Novitas billing and coding <a href=\"https:\/\/www.cms.gov\/medicare-coverage-database\/view\/article.aspx?articleid=57113\" target=\"_blank\" rel=\"nofollow noopener\">article A57113<\/a>, which supports local coverage determination L34938, sets out the requirements for removal of benign skin lesions.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Cosmetic removal of a lesion that causes no symptoms and no functional problem is a non-covered service. Your own Medicare Administrative Contractor may publish its own policy, so check the one that applies to you.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>The lesion bleeds, is inflamed, is infected, or itches persistently<\/li>\n\n\n\n<li>The lesion causes pain, or catches on clothing, a strap, or a razor<\/li>\n\n\n\n<li>The lesion has grown or changed in a way that raises concern for malignancy<\/li>\n\n\n\n<li>The lesion restricts movement or interferes with a nearby structure<\/li>\n\n\n\n<li>The clinical indication appears in the physician note, not only in the diagnosis code<\/li>\n\n\n\n<li>For an elective cosmetic removal, the patient signs an Advance Beneficiary Notice before the service<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">The right <a href=\"https:\/\/pabau.com\/blog\/skin-assessment-tools\/\">skin assessment tools<\/a> make this straightforward. In practice, the symptom that justified the removal is easiest to record while the patient is still in the room.<\/p>\n\n\n\n<h3 id=\"h-bundling-and-ncci-edits\" class=\"wp-block-heading\">Bundling and NCCI edits<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">CPT 11302 carries a multiple procedure indicator of 2, so the standard reduction applies. The highest valued procedure of the session pays in full, and each additional one pays at 50 percent. That reduction is expected and correct, so it is not a denial to appeal.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The code also has a 000-day global period. There is no postoperative window, which is why a separately identifiable visit on the same day can still be billed with modifier 25.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The bilateral surgery indicator is 9. The bilateral payment rule does not apply to this code, so two lesions on two limbs are two line items rather than one bilateral claim.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">National Correct Coding Initiative edits change quarterly. So, check the current quarter before you append a bypass modifier to a pair that an edit has flagged.<\/p>\n\n\n\n<h2 id=\"h-modifiers-for-cpt-code-11302\" class=\"wp-block-heading\">Modifiers for CPT code 11302<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Modifier choice depends on what else happened at the visit. As a result, attaching the wrong one, or leaving out a required one, is a routine denial source in this code family.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Modifier<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">When it applies to CPT 11302<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Payer note<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">25<\/td>\n<td style=\"padding:12px 16px;color:#374151\">A significant, separately identifiable evaluation and management service on the same day<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Append it to the evaluation and management code, never to 11302<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">51<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Several procedures at one session, on the lines after the highest valued one<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Many payers apply the multiple procedure reduction automatically<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">59 or XS<\/td>\n<td style=\"padding:12px 16px;color:#374151\">A second lesion at a distinct site when an edit would otherwise bundle the pair<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Use XS where the payer accepts the more specific X modifiers<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">RT or LT<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Laterality on a lesion of the arm or leg<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Informational only here, since the bilateral indicator is 9<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">GA<\/td>\n<td style=\"padding:12px 16px;color:#374151\">An Advance Beneficiary Notice is on file for a removal you expect Medicare to deny<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Use GY instead when the service is statutorily excluded<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">The distinction between 51 and 59 is worth getting right. Modifier 51 says a second procedure happened, and modifier 59 says a bundling edit should be bypassed because the services were genuinely separate.<\/p>\n\n\n        <div id=\"pro_tip\">\n            <div class=\"img\">\n                <svg width=\"42\" height=\"42\" viewBox=\"0 0 42 42\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M12.6383 19.5238C12.6632 21.2071 12.8734 22.9926 12.0685 24.5523C11.0341 26.8917 8.45076 28.169 7.56292 30.5918C6.63082 33.1061 7.19505 36.185 9.31371 37.9786C10.929 39.5678 13.4183 39.9873 15.6061 39.5463C17.4592 39.073 19.1049 37.8388 19.9706 36.1608C20.781 34.7141 20.7866 32.9904 20.5293 31.3985C20.1006 29.3092 18.3775 27.8705 16.9807 26.362C14.8814 24.1005 14.6684 20.6854 15.595 17.8915C16.4331 15.4768 19.0026 14.2344 20.0425 11.9461C20.7202 10.6769 20.7506 9.20327 20.6068 7.81304C20.1864 5.40098 18.3139 3.23631 15.8716 2.56674C13.9742 2.03969 11.8224 2.30052 10.1739 3.37614C8.70522 4.34688 7.5878 5.86618 7.28356 7.58178C6.76081 9.82981 7.53525 12.2822 9.20307 13.9118C10.7658 15.4741 12.4806 17.2273 12.6383 19.5238Z\"\n                        fill=\"#2BADD4\" \/>\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M22.7048 19.8387C22.6822 22.3279 24.4507 24.6234 26.7493 25.4682C28.0531 25.961 29.4725 25.9183 30.7989 25.5487C32.0575 24.9955 33.301 24.2237 34.0069 23.0092C34.8384 21.5811 35.2982 19.8286 34.7832 18.2094C34.3611 16.2507 32.8739 14.6541 31.0275 13.9426C28.6736 12.9595 25.8073 13.7942 24.1719 15.7001C23.2022 16.8366 22.6143 18.3326 22.7048 19.8387Z\"\n                        fill=\"#2BADD4\" \/>\n                <\/svg>\n            <\/div>\n            <div class=\"text\">\n                <h3>Pro Tip<\/h3>\n                <p>Bill 11302 once per lesion, not once per encounter. For example, two qualifying lesions on the back are two lines of 11302. The second line needs modifier 59 or XS, plus a note that names both sites.<\/p>\n            <\/div>\n        <\/div>\n    \n\n\n<h2 id=\"h-icd-10-codes-commonly-billed-with-cpt-code-11302\" class=\"wp-block-heading\">ICD-10 codes commonly billed with CPT code 11302<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Every CPT claim needs a diagnosis code that establishes medical necessity. On a limb, this is mostly a laterality problem.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The limb codes split into right and left; the unspecified options, D23.60 and D23.70, read as incomplete. The pairings below reflect the FY2026 ICD-10-CM code set.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">ICD-10-CM code<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Clinical description<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Notes<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">D23.5<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Other benign neoplasm of skin of trunk<\/td>\n<td style=\"padding:12px 16px;color:#374151\">The workhorse pairing for back, chest, abdomen, and flank lesions<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">D23.61 \/ D23.62<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Other benign neoplasm of skin of right or left upper limb, including shoulder<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Laterality is required; D23.60, the unspecified option, reads as incomplete<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">D23.71 \/ D23.72<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Other benign neoplasm of skin of right or left lower limb, including hip<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Same rule \u2014 the hip belongs to the lower limb code, not the trunk code<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">D22.5<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Melanocytic nevi of trunk<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Use when the record documents a nevus, not an unspecified lesion<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">D22.61 \/ D22.62<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Melanocytic nevi of right or left upper limb, including shoulder<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Lower limb equivalents are D22.71 and D22.72<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">L82.0<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Inflamed seborrheic keratosis<\/td>\n<td style=\"padding:12px 16px;color:#374151\">The inflamed form supports medical necessity<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">L82.1<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Other seborrheic keratosis<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Usually cosmetic and asymptomatic; expect a denial without more<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">L91.0<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Hypertrophic scar<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Supportable when symptomatic or catching on clothing<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">D48.5<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Neoplasm of uncertain behavior of skin<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Fits when behavior is unconfirmed, pathology pending<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">L57.0<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Actinic keratosis<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Destruction is reported with 17000-17004, not a shave code<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Q82.5<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Congenital non-neoplastic nevus<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Use for a documented congenital, not acquired, lesion<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">Pick the code that matches the documented finding for that encounter. A generic code where a specific one exists is a standing audit flag \u2014 and on a limb, an easy denial.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Practices that record the site at intake have less work here. Structured <a href=\"https:\/\/pabau.com\/blog\/soap-charting\/\">SOAP charting<\/a> puts the site and the finding on the chart before anyone opens the claim.<\/p>\n\n\n\n<h2 id=\"h-documentation-requirements-for-a-shave-removal-claim\" class=\"wp-block-heading\">Documentation requirements for a shave removal claim<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Documentation decides whether an 11302 claim survives review. In practice, the procedure note has to let a reviewer who has never seen the patient confirm the code without asking a question.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/pabau.com\/blog\/medical-forms-at-your-healthcare-practice\/\">Structured medical documentation forms<\/a> help here. They capture the required fields at the point of care instead of leaving them to be reconstructed at the billing desk.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/pabau.com\/wp-content\/uploads\/2024\/08\/Clinical-notes-and-dictation-in-Pabau.webp\" alt=\"A patient record in Pabau showing clinical notes, medical history, and a dictated voice note\"\/><figcaption class=\"wp-element-caption\"><em>Pabau&#8217;s patient record keeps the treatment note, the history, and a dictated summary in one view. The evidence behind an 11302 claim is still there when a payer asks months later.<\/em><\/figcaption><\/figure>\n\n\n\n<div aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Anatomic site:<\/strong> name the exact location, such as &#8222;left posterior forearm&#8220; rather than &#8222;extremity&#8220;. It has to fall inside the 11300-11303 group.<\/li>\n\n\n\n<li><strong>Lesion diameter:<\/strong> record the measurement in centimeters, taken before removal. State it plainly, for example &#8222;lesion measured 1.4 cm prior to removal&#8220;.<\/li>\n\n\n\n<li><strong>Technique:<\/strong> state that the lesion was shaved with a blade or razor and that no full-thickness excision was performed.<\/li>\n\n\n\n<li><strong>Clinical indication:<\/strong> say why the lesion was removed. Specifically, Medicare needs bleeding, irritation, pain, or functional impairment, not a cosmetic preference.<\/li>\n\n\n\n<li><strong>Number of lesions:<\/strong> describe each lesion separately when more than one is removed, with its own site and its own measurement.<\/li>\n\n\n\n<li><strong>Pathology disposition:<\/strong> note whether a specimen went to the laboratory and where. If none was sent, one line of explanation is enough.<\/li>\n\n\n\n<li><strong>Wound management:<\/strong> record whether the base was cauterized, treated with a hemostatic agent, or left to heal by secondary intention.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">When tissue does go to pathology, the laboratory bills the examination itself under CPT 88305. Confirm the lab is submitting that line so your practice does not duplicate it.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Keep the note, the measurement, and the pathology result together in the patient record. In short, <a href=\"https:\/\/pabau.com\/blog\/hipaa-compliance-for-medical-offices\/\">HIPAA-compliant record keeping<\/a> and audit readiness are the same filing job done once.<\/p>\n\n\n\n<h2 id=\"h-common-coding-errors-and-how-to-avoid-them\" class=\"wp-block-heading\">Common coding errors and how to avoid them<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Denials on this code cluster into a short list. In fact, each one traces back to a sentence missing from the note or a tier chosen from memory.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Using 11302 for a 0.6 to 1.0 cm lesion.<\/strong> That tier is 11301. This is the single most frequent error on the code, and it costs 0.46 RVU each time.<\/li>\n\n\n\n<li><strong>Coding a hand or foot lesion here.<\/strong> Hands, feet, scalp, neck, and genitalia are the 11305-11308 series, so a thumb lesion is never 11302.<\/li>\n\n\n\n<li><strong>Reporting a shave code for a biopsy.<\/strong> If the intent was diagnostic, article A57113 sends you to the tangential biopsy codes 11102 and 11103.<\/li>\n\n\n\n<li><strong>Adding margins to reach the tier.<\/strong> Margins belong to the excision codes. A 0.9 cm lesion does not become 11302 because 0.2 cm of normal skin came with it.<\/li>\n\n\n\n<li><strong>Measuring after removal.<\/strong> The specimen shrinks, so the number in the pathology report will not match the number the code needs.<\/li>\n\n\n\n<li><strong>Billing cosmetic removal without an Advance Beneficiary Notice.<\/strong> As a result, without the signed notice, the practice usually cannot bill the patient for the non-covered service.<\/li>\n\n\n\n<li><strong>Leaving the second lesion undocumented.<\/strong> Two lines of 11302 need two described sites, otherwise the second line looks like a duplicate.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Aesthetic practices see the cosmetic line tested most often. So, a working knowledge of <a href=\"https:\/\/pabau.com\/blog\/medspa-compliance\/\">med spa compliance requirements<\/a> keeps the consent conversation and the billing decision in step.<\/p>\n\n\n\n<h2 id=\"h-how-pabau-supports-documentation-for-shave-removal-billing\" class=\"wp-block-heading\">How Pabau supports documentation for shave removal billing<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Most 11302 problems start before anyone builds a claim. In a solo practice, the clinician codes their own removals. In a <a href=\"https:\/\/pabau.com\/blog\/group-practice-vs-private-practice\/\">group practice<\/a>, the note reaches someone else, and the measurement is what goes missing.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Practice management software like Pabau keeps both in the same patient record, so the note your coder reads is the note the clinician wrote \u2014 nothing has to be reconstructed later.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The practical fix is a procedure template that won&#8217;t close with a field empty. For example, Pabau&#8217;s <a href=\"https:\/\/pabau.com\/industry\/skin-clinic-software\/\">skin clinic software<\/a> lets you build a shave removal form with four required fields.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The form asks for the anatomic site, the pre-removal diameter in centimeters, the technique, and the indication. That turns the two variables 11302 depends on into a step nobody can skip.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/cdn.pabau.com\/cdn\/attachments\/pulse\/content-engine\/billing_codes\/cpt-code-11302\/comprehensive-emr-patient-record-management.webp\" alt=\"The EMR section of a Pabau patient record, showing a completed treatment note being shared\"\/><figcaption class=\"wp-element-caption\"><em>Pabau&#8217;s EMR keeps forms, photos, and treatment notes on one chart and shares a note in a click, so the lesion measurement stays attached to the record it came from.<\/em><\/figcaption><\/figure>\n\n\n\n<div aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"wp-block-paragraph\">In a US practice, Pabau&#8217;s job is the record \u2014 your biller or billing service builds the claim. Then, <a href=\"https:\/\/pabau.com\/features\/claims-management-software\/\">Claims management in Pabau<\/a> pulls the chart details into a pre-filled submission and tracks its status.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">It doesn&#8217;t choose the code for you \u2014 the tier, modifier, and diagnosis stay clinical decisions, which is why the note has to carry the facts behind them.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">When a reviewer asks for support months later, everything comes from one system \u2014 the procedure note, photographs, diagnosis codes, and audit trail sit together instead of in three places.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">In turn, for <a href=\"https:\/\/pabau.com\/industry\/dermatology-emr-software\/\">dermatology EMR software<\/a> users, that consistency is what shortens an audit response.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Together, pairing <a href=\"https:\/\/pabau.com\/features\/medical-records-management\/\">patient record management<\/a> with <a href=\"https:\/\/pabau.com\/features\/patient-intake-software\/\">digital intake forms<\/a> builds that documentation baseline into every encounter.<\/p>\n\n\n        <div id=\"book_a_demo\">\n            <div class=\"left-side\">\n                <div class=\"logo\">\n                    <img decoding=\"async\"\n                        src=\"https:\/\/pabau.com\/wp-content\/uploads\/2026\/01\/Logo.svg\"\n                        alt=\"Logo\"\n                        loading=\"lazy\"\n                    \/>\n                <\/div>\n\n                <h3 class=\"heading\">\n                    Make the measurement part of the note, not an afterthought                <\/h3>\n\n                <p class=\"description\">\n                    Pabau keeps procedure notes, photographs, and lesion measurements in one patient record. Your coder never has to guess the site or the size behind a shave removal claim. Book a demo to see how dermatology and aesthetics practices set this up.                <\/p>\n\n                <div class=\"button-group\">\n                    <a href=\"\/book-demo\/\" class=\"btn btn-scale-effect btn-cta-color btn-md\">\n                        <span class=\"btn-text\">Book a demo<\/span>\n                        <div class=\"btn-icon btn-icon-right\" aria-hidden=\"true\">\n                            <svg\n                                width=\"14\"\n                                height=\"12\"\n                                viewBox=\"0 0 14 12\"\n                                fill=\"none\"\n                                xmlns=\"http:\/\/www.w3.org\/2000\/svg\"\n                            >\n                                <path\n                                    d=\"M0.75 4.77295C0.335786 4.77295 0 5.10874 0 5.52295C0 5.93716 0.335786 6.27295 0.75 6.27295V5.52295V4.77295ZM13.2803 6.05328C13.5732 5.76039 13.5732 5.28551 13.2803 4.99262L8.50736 0.219648C8.21447 -0.073245 7.73959 -0.073245 7.4467 0.219648C7.15381 0.512542 7.15381 0.987415 7.4467 1.28031L11.6893 5.52295L7.4467 9.76559C7.15381 10.0585 7.15381 10.5334 7.4467 10.8263C7.73959 11.1191 8.21447 11.1191 8.50736 10.8263L13.2803 6.05328ZM0.75 5.52295V6.27295L12.75 6.27295V5.52295V4.77295L0.75 4.77295V5.52295Z\"\n                                    fill=\"currentColor\"\n                                ><\/path>\n                            <\/svg>\n                        <\/div>\n                    <\/a>\n                <\/div>\n            <\/div>\n\n            <div class=\"right-side\">\n                <img decoding=\"async\"\n                    src=\"https:\/\/pabau.com\/wp-content\/uploads\/2026\/01\/Home-Page-Concept-4.webp\"\n                    alt=\"Pabau practice management platform for dermatology documentation\"\n                    loading=\"lazy\"\n                \/>\n            <\/div>\n        <\/div>\n        \n\n\n<h2 id=\"h-conclusion\" class=\"wp-block-heading\">Conclusion<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">CPT code 11302 has two conditions and no others. The lesion sits on the trunk, an arm, or a leg, and it measures 1.1 to 2.0 cm before removal.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Almost every denial in this family traces back to a note that missed one of those two facts. Otherwise, the rest come from a coder reaching for the neighboring size tier out of habit.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">So measure first, name the exact site, describe the technique, and say why the lesion had to go. Those four lines decide the code, the modifier, and whether Medicare pays.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Pabau builds those habits into the encounter itself, so the documentation is right before the claim is ever created. To see how that works in a dermatology or aesthetics setting, <a href=\"https:\/\/pabau.com\/book-demo\/\">book a demo<\/a> with the Pabau team.<\/p>\n\n\n        <div id=\"expert_picks\">\n            <div class=\"header\">\n                                    <img decoding=\"async\" src=\"https:\/\/pabau.com\/wp-content\/uploads\/2025\/11\/Expert-Picks.svg\" alt=\"Continue your research\" height=\"42\" width=\"42\">\n                                <h3>Continue your research<\/h3>\n            <\/div>\n            <div class=\"content\">\n                                                            <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Is the trunk or limb lesion smaller than 1.1 cm?<\/strong> <a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-11301\/\" rel=\"noopener\">CPT code 11301<\/a> is the 0.6 to 1.0 cm tier of the same series, with its own RVUs.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Same size, but the lesion is on the face?<\/strong> <a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-11312\/\" rel=\"noopener\">CPT code 11312<\/a> covers the face, ears, eyelids, nose, lips, and mucous membrane at 1.1 to 2.0 cm.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Was the lesion excised rather than shaved?<\/strong> <a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-11402\/\" rel=\"noopener\">CPT code 11402<\/a> covers excision of a benign trunk or extremity lesion in the same size band.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Was the intent diagnostic instead of therapeutic?<\/strong> <a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-11102\/\" rel=\"noopener\">CPT code 11102<\/a> is the tangential biopsy code that article A57113 tells you to use instead.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Treating an actinic keratosis?<\/strong> <a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-17000\/\" rel=\"noopener\">CPT code 17000<\/a> covers destruction of a premalignant lesion, which is counted rather than measured.<\/p>\n                        <\/div>\n                                                <\/div>\n        <\/div>\n    \n\n\n<h2 id=\"h-frequently-asked-questions\" class=\"wp-block-heading\">Frequently asked questions<\/h2>\n\n\n\n<div class=\"schema-faq wp-block-yoast-faq-block\"><div class=\"schema-faq-section\" id=\"faq-question-1786694218334\"><h3 class=\"schema-faq-question\">What is CPT code 11302?<\/h3> <p class=\"schema-faq-answer\">CPT code 11302 covers the shaving of a single epidermal or dermal lesion on the trunk, arms, or legs, measuring 1.1 to 2.0 cm. The American Medical Association maintains the code. In practice, dermatology, aesthetics, and general surgery practices use it for tangential removal without suture closure.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786694218336\"><h3 class=\"schema-faq-question\">What is the difference between CPT 11302 and CPT 11301?<\/h3> <p class=\"schema-faq-answer\">The difference is lesion diameter, measured before removal. CPT 11301 covers a lesion of 0.6 to 1.0 cm on the trunk, arms, or legs. By contrast, CPT 11302 covers the next tier up, 1.1 to 2.0 cm, on those same sites. Both use the same technique.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786694218338\"><h3 class=\"schema-faq-question\">Is CPT 11302 covered by Medicare?<\/h3> <p class=\"schema-faq-answer\">Medicare covers CPT 11302 when medical necessity is documented. Novitas article A57113, which supports local coverage determination L34938, lists indications such as bleeding, inflammation, pain, and concern for malignancy. Cosmetic removal of an asymptomatic lesion is not covered, and it needs an Advance Beneficiary Notice on file.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786694218337\"><h3 class=\"schema-faq-question\">What modifiers can be used with CPT code 11302?<\/h3> <p class=\"schema-faq-answer\">Modifier 25 goes on the evaluation and management code when a separately identifiable visit happens the same day. Meanwhile, modifier 51 applies to additional procedures at one session. Modifier 59, or XS where the payer prefers it, bypasses a bundling edit for a lesion at a distinct site. Check current National Correct Coding Initiative edits each quarter.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786694218339\"><h3 class=\"schema-faq-question\">Can CPT 11302 be billed with a shave biopsy code?<\/h3> <p class=\"schema-faq-answer\">Not for the same lesion. Medicare article A57113 says a shave removal code should not be reported when a tangential biopsy was performed. Tangential biopsy codes 11102 and 11103 describe a diagnostic intent, while 11302 describes therapeutic removal. Billing both for one lesion at one encounter is duplicate billing.<\/p> <\/div> <\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>CPT code 11302 bills the shave removal of a single epidermal or dermal lesion on the trunk, arms, or legs. Specifically, the lesion has to measure 1.1 to 2.0 cm. That size band is where the code goes wrong most often. A 0.8 cm lesion on the forearm is 11301, and a claim that reaches [&hellip;]<\/p>\n","protected":false},"author":84,"featured_media":180163,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_yoast_wpseo_linkdex":"89","_yoast_wpseo_content_score":"30","_yoast_wpseo_is_cornerstone":"","_yoast_wpseo_keywordsynonyms":"[\"\",\"\",\"\",\"\"]","_yoast_wpseo_focuskw_text_input":"","_seo_original_html":"","footnotes":""},"categories":[1433,1546,1103],"tags":[1364,4126,1534,1600,2508],"class_list":["post-180164","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-billing-codes","category-cpt-codes","category-dermatology","tag-billing","tag-cpt","tag-dermatology-billing","tag-dermatology-cpt-codes","tag-medical-coding"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.2 (Yoast SEO v28.2) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>CPT code 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Outside of work, she enjoys photography, weekend getaways, and finding inspiration in everyday experiences.\",\"url\":\"https:\\\/\\\/pabau.com\\\/de\\\/blog\\\/author\\\/despina-petrushevska\\\/\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/de\\\/procedure-codes\\\/cpt-code-11302\\\/#faq-question-1786694218334\",\"position\":1,\"url\":\"https:\\\/\\\/pabau.com\\\/de\\\/procedure-codes\\\/cpt-code-11302\\\/#faq-question-1786694218334\",\"name\":\"What is CPT code 11302?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"CPT code 11302 covers the shaving of a single epidermal or dermal lesion on the trunk, arms, or legs, measuring 1.1 to 2.0 cm. The American Medical Association maintains the code. In practice, dermatology, aesthetics, and general surgery practices use it for tangential removal without suture closure.\",\"inLanguage\":\"de\"},\"inLanguage\":\"de\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/de\\\/procedure-codes\\\/cpt-code-11302\\\/#faq-question-1786694218336\",\"position\":2,\"url\":\"https:\\\/\\\/pabau.com\\\/de\\\/procedure-codes\\\/cpt-code-11302\\\/#faq-question-1786694218336\",\"name\":\"What is the difference between CPT 11302 and CPT 11301?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"The difference is lesion diameter, measured before removal. CPT 11301 covers a lesion of 0.6 to 1.0 cm on the trunk, arms, or legs. By contrast, CPT 11302 covers the next tier up, 1.1 to 2.0 cm, on those same sites. Both use the same technique.\",\"inLanguage\":\"de\"},\"inLanguage\":\"de\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/de\\\/procedure-codes\\\/cpt-code-11302\\\/#faq-question-1786694218338\",\"position\":3,\"url\":\"https:\\\/\\\/pabau.com\\\/de\\\/procedure-codes\\\/cpt-code-11302\\\/#faq-question-1786694218338\",\"name\":\"Is CPT 11302 covered by Medicare?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Medicare covers CPT 11302 when medical necessity is documented. Novitas article A57113, which supports local coverage determination L34938, lists indications such as bleeding, inflammation, pain, and concern for malignancy. 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Check current National Correct Coding Initiative edits each quarter.\",\"inLanguage\":\"de\"},\"inLanguage\":\"de\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/de\\\/procedure-codes\\\/cpt-code-11302\\\/#faq-question-1786694218339\",\"position\":5,\"url\":\"https:\\\/\\\/pabau.com\\\/de\\\/procedure-codes\\\/cpt-code-11302\\\/#faq-question-1786694218339\",\"name\":\"Can CPT 11302 be billed with a shave biopsy code?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Not for the same lesion. Medicare article A57113 says a shave removal code should not be reported when a tangential biopsy was performed. Tangential biopsy codes 11102 and 11103 describe a diagnostic intent, while 11302 describes therapeutic removal. 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is an all-in-one healthcare practice management software platform designed for clinics, medspas, therapists, and medical professionals. It combines scheduling, electronic health records, clinical forms, payments, marketing automation, reporting, and patient engagement tools into one secure cloud system to help practices streamline operations and grow their business.","foundingDate":"2011-10-20","numberOfEmployees":{"@type":"QuantitativeValue","minValue":"201","maxValue":"500"}},{"@type":"Person","@id":"https:\/\/pabau.com\/de\/#\/schema\/person\/80e6d36732fad68140a849f3c351449b","name":"Despina Petrushevska","image":{"@type":"ImageObject","inLanguage":"de","@id":"https:\/\/pabau.com\/wp-content\/uploads\/2026\/06\/cropped-colour-96x96.png","url":"https:\/\/pabau.com\/wp-content\/uploads\/2026\/06\/cropped-colour-96x96.png","contentUrl":"https:\/\/pabau.com\/wp-content\/uploads\/2026\/06\/cropped-colour-96x96.png","caption":"Despina Petrushevska"},"description":"Despina Petrushevska is a content writer covering aesthetics, dermatology, and clinic operations, known for making detailed clinical concepts clear and engaging. Outside of work, she enjoys photography, weekend getaways, and finding inspiration in everyday experiences.","url":"https:\/\/pabau.com\/de\/blog\/author\/despina-petrushevska\/"},{"@type":"Question","@id":"https:\/\/pabau.com\/de\/procedure-codes\/cpt-code-11302\/#faq-question-1786694218334","position":1,"url":"https:\/\/pabau.com\/de\/procedure-codes\/cpt-code-11302\/#faq-question-1786694218334","name":"What is CPT code 11302?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"CPT code 11302 covers the shaving of a single epidermal or dermal lesion on the trunk, arms, or legs, measuring 1.1 to 2.0 cm. The American Medical Association maintains the code. In practice, dermatology, aesthetics, and general surgery practices use it for tangential removal without suture closure.","inLanguage":"de"},"inLanguage":"de"},{"@type":"Question","@id":"https:\/\/pabau.com\/de\/procedure-codes\/cpt-code-11302\/#faq-question-1786694218336","position":2,"url":"https:\/\/pabau.com\/de\/procedure-codes\/cpt-code-11302\/#faq-question-1786694218336","name":"What is the difference between CPT 11302 and CPT 11301?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"The difference is lesion diameter, measured before removal. CPT 11301 covers a lesion of 0.6 to 1.0 cm on the trunk, arms, or legs. By contrast, CPT 11302 covers the next tier up, 1.1 to 2.0 cm, on those same sites. Both use the same technique.","inLanguage":"de"},"inLanguage":"de"},{"@type":"Question","@id":"https:\/\/pabau.com\/de\/procedure-codes\/cpt-code-11302\/#faq-question-1786694218338","position":3,"url":"https:\/\/pabau.com\/de\/procedure-codes\/cpt-code-11302\/#faq-question-1786694218338","name":"Is CPT 11302 covered by Medicare?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"Medicare covers CPT 11302 when medical necessity is documented. Novitas article A57113, which supports local coverage determination L34938, lists indications such as bleeding, inflammation, pain, and concern for malignancy. Cosmetic removal of an asymptomatic lesion is not covered, and it needs an Advance Beneficiary Notice on file.","inLanguage":"de"},"inLanguage":"de"},{"@type":"Question","@id":"https:\/\/pabau.com\/de\/procedure-codes\/cpt-code-11302\/#faq-question-1786694218337","position":4,"url":"https:\/\/pabau.com\/de\/procedure-codes\/cpt-code-11302\/#faq-question-1786694218337","name":"What modifiers can be used with CPT code 11302?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"Modifier 25 goes on the evaluation and management code when a separately identifiable visit happens the same day. Meanwhile, modifier 51 applies to additional procedures at one session. Modifier 59, or XS where the payer prefers it, bypasses a bundling edit for a lesion at a distinct site. Check current National Correct Coding Initiative edits each quarter.","inLanguage":"de"},"inLanguage":"de"},{"@type":"Question","@id":"https:\/\/pabau.com\/de\/procedure-codes\/cpt-code-11302\/#faq-question-1786694218339","position":5,"url":"https:\/\/pabau.com\/de\/procedure-codes\/cpt-code-11302\/#faq-question-1786694218339","name":"Can CPT 11302 be billed with a shave biopsy code?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"Not for the same lesion. Medicare article A57113 says a shave removal code should not be reported when a tangential biopsy was performed. Tangential biopsy codes 11102 and 11103 describe a diagnostic intent, while 11302 describes therapeutic removal. Billing both for one lesion at one encounter is duplicate billing.","inLanguage":"de"},"inLanguage":"de"}]}},"yoast":{"focus_keyword":"CPT code 11302","seo_title":"CPT code 11302: Shaving of epidermal or dermal lesion","meta_description":"CPT code 11302 covers shave removal of a 1.1 to 2.0 cm lesion on the trunk, arms, or legs. 2026 RVUs, rates, modifiers.","content_score":"30","is_cornerstone":"","related_keyphrases":[{"keyword":"shaving epidermal dermal lesion","score":72},{"keyword":"cpt 11302 modifiers","score":61},{"keyword":"skin lesion shaving cpt code","score":56}]},"_links":{"self":[{"href":"https:\/\/pabau.com\/de\/wp-json\/wp\/v2\/posts\/180164","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pabau.com\/de\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/pabau.com\/de\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/pabau.com\/de\/wp-json\/wp\/v2\/users\/84"}],"replies":[{"embeddable":true,"href":"https:\/\/pabau.com\/de\/wp-json\/wp\/v2\/comments?post=180164"}],"version-history":[{"count":5,"href":"https:\/\/pabau.com\/de\/wp-json\/wp\/v2\/posts\/180164\/revisions"}],"predecessor-version":[{"id":184195,"href":"https:\/\/pabau.com\/de\/wp-json\/wp\/v2\/posts\/180164\/revisions\/184195"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/pabau.com\/de\/wp-json\/wp\/v2\/media\/180163"}],"wp:attachment":[{"href":"https:\/\/pabau.com\/de\/wp-json\/wp\/v2\/media?parent=180164"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/pabau.com\/de\/wp-json\/wp\/v2\/categories?post=180164"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/pabau.com\/de\/wp-json\/wp\/v2\/tags?post=180164"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}