{"id":161705,"date":"2026-07-22T14:32:21","date_gmt":"2026-07-22T14:32:21","guid":{"rendered":"https:\/\/pabau.com\/?p=161705"},"modified":"2026-08-17T11:32:09","modified_gmt":"2026-08-17T11:32:09","slug":"cpt-code-11442","status":"publish","type":"post","link":"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-11442\/","title":{"rendered":"CPT Code 11442: Benign lesion excision on the face"},"content":{"rendered":"        <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 11442 describes excision of a benign lesion including margins on the face, ears, eyelids, nose, lips, or mucous membrane, with an excised diameter of 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=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>Measurement includes the lesion and the excised margins \u2014 billing only the lesion diameter is the most common coding error with this code.<\/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>Simple closure is bundled into CPT 11442 and cannot be separately billed. Complex repairs use a distinct closure code, unbundled with modifier 59.<\/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>Recording excised diameter, anatomical site, and lesion type in structured clinical documentation at the point of care gives billing teams complete data before a claim is submitted.<\/p>\n                        <\/div>\n                                                <\/div>\n        <\/div>\n    \n\n\n<p class=\"wp-block-paragraph\">CPT Code 11442 is the procedure code for excision of a benign lesion, including margins, on the face, ears, eyelids, nose, lips, or mucous membrane, where the excised diameter measures 1.1 to 2.0 centimeters. It sits in the middle of the 11440-11446 family.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The most common coding error is measuring the visible lesion instead of the excised specimen. This guide covers the code definition, reimbursement rates, RVUs, modifiers, ICD-10-CM pairings, and documentation requirements for CPT 11442.<\/p>\n\n\n\n<h2 id=\"h-cpt-code-11442-definition-criteria-and-clinical-use\" class=\"wp-block-heading\">CPT Code 11442: Definition, criteria, and clinical use<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Coders who miss the margin measurement consistently under-code or over-code CPT 11442 by one or two tiers. Understanding this code&#8217;s boundary conditions prevents both denial risk and audit exposure.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The <a href=\"https:\/\/www.ama-assn.org\/practice-management\/cpt\/cpt-code-set-overview\" target=\"_blank\" rel=\"nofollow noopener\">American Medical Association (AMA)<\/a> defines CPT Code 11442 as excision of other benign lesion including margins, on the face, ears, eyelids, nose, lips, or mucous membrane, with an excised diameter of 1.1 to 2.0 centimeters.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The code is maintained under the Surgery section of the CPT code book and applies to dermatology, plastic surgery, oculoplastic, and general surgery encounters where a facial or perioral benign growth is removed surgically.<\/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<h3 id=\"h-how-excised-diameter-is-measured\" class=\"wp-block-heading\">How excised diameter is measured<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">The excised diameter is not the visible lesion size. It is the greatest diameter of the excised specimen, measured after removal and including the margin of surrounding normal tissue taken with it. Document this measurement in the operative note using the surgical specimen, not a pre-operative clinical estimate.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Lesion alone:<\/strong> Do not use this measurement for code selection.<\/li>\n\n\n\n<li><strong>Lesion plus margins:<\/strong> This is the correct basis for CPT 11442 selection.<\/li>\n\n\n\n<li><strong>1.1 to 2.0 cm:<\/strong> The excised diameter must fall within this range for 11442 to apply.<\/li>\n\n\n\n<li><strong>Round up only when documented:<\/strong> If the specimen measures exactly 1.05 cm, document and report 11440 (0.6 to 1.0 cm) unless the operative record supports a larger excision.<\/li>\n<\/ul>\n\n\n\n<h2 id=\"h-cpt-code-11442-code-family-11440-11446-comparison\" class=\"wp-block-heading\">CPT Code 11442 code family: 11440-11446 comparison<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The 11440-11446 series covers benign lesion excision on the face, ears, eyelids, nose, lips, and mucous membranes, differentiated exclusively by excised diameter. Choosing the wrong tier by even a millimeter \u2014 without supporting documentation \u2014 is a common audit trigger.<\/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\">Excised 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\">Anatomical Sites<\/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\">Typical Clinical Scenario<\/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\">11440<\/td>\n<td style=\"padding:12px 16px;color:#374151\">0.5 cm or less<\/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\">Small intradermal nevus or milia excision<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">11441<\/td>\n<td style=\"padding:12px 16px;color:#374151\">0.6 to 1.0 cm<\/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\">Sebaceous cyst or fibroma on cheek<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">11442<\/td>\n<td style=\"padding:12px 16px;color:#374151\">1.1 to 2.0 cm<\/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\">Larger dermatofibroma or lipoma on face<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">11443<\/td>\n<td style=\"padding:12px 16px;color:#374151\">2.1 to 3.0 cm<\/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\">Epidermal inclusion cyst on ear<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">11444<\/td>\n<td style=\"padding:12px 16px;color:#374151\">3.1 to 4.0 cm<\/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\">Larger lesion requiring wider excision margin<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">11446<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Over 4.0 cm<\/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\">Extensive benign growth requiring broad excision<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">Note that 11445 does not exist in the series. The family jumps from 11444 to 11446, and coders searching sequentially for the next code should expect that skip. Cross-referencing the full code hierarchy against other code families.<\/p>\n\n\n\n<h2 id=\"h-cpt-11442-vs-cpt-11422-key-differences\" class=\"wp-block-heading\">CPT 11442 vs CPT 11422: Key differences<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">CPT 11442 and CPT 11422 both describe excision of a benign lesion with an excised diameter of 1.1 to 2.0 cm. The difference is anatomical site only, not size. Selecting the wrong code between these two is one of the most frequent facial-lesion billing errors.<\/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\">Anatomical Sites<\/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\">Excised 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\">Billable Region<\/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\">11442<\/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\">Head\/neck facial structures<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">11422<\/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\">Non-facial body regions<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">If a lesion sits at the jawline or on the neck, the anatomical distinction matters. The neck falls under the 11420-11426 series (11422 for the 1.1-2.0 cm range), while the face, including the chin and perioral region, falls under 11440-11446. When documentation is ambiguous about the site, query the provider before submitting the claim.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Our roundup of <a href=\"https:\/\/pabau.com\/blog\/best-plastic-surgery-software\/\">software for plastic surgery practices<\/a> shows how documentation, photos, and billing fit together.<\/p>\n\n\n\n<h2 id=\"h-medicare-reimbursement-rate-for-cpt-11442\" class=\"wp-block-heading\">Medicare reimbursement rate for CPT 11442<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Medicare sets payment rates for CPT 11442 annually through the <a href=\"https:\/\/www.cms.gov\/medicare\/physician-fee-schedule\/search\/overview\" target=\"_blank\" rel=\"nofollow noopener\">Medicare Physician Fee Schedule (MPFS)<\/a>, maintained by the Centers for Medicare and Medicaid Services (CMS). Rates vary by geographic locality, setting (facility vs. non-facility), and the annual conversion factor. The figures below reflect national averages \u2014 verify current rates using the CMS MPFS lookup tool for your locality.<\/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\">Approximate Medicare Payment<\/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\">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\">Non-facility (office)<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Approximately $185-$205 (national average, ~$194)<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Includes practice expense RVUs at non-facility rate<\/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\/ASC)<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Approximately $120-$145 (national average, ~$132)<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Lower PE RVUs. Facility bills separately for overhead<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">Use the <a href=\"https:\/\/fastrvu.com\/tools\/rvu-lookup\" target=\"_blank\" rel=\"nofollow noopener\">FastRVU lookup tool<\/a> to verify the most current RVU values and geographic adjustment factors for your state and locality before finalizing billing for this code.<\/p>\n\n\n\n<h3 id=\"h-relative-value-units-rvus-for-cpt-11442\" class=\"wp-block-heading\">Relative value units (RVUs) for CPT 11442<\/h3>\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\">Non-Facility Value (est.)<\/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\">Facility Value (est.)<\/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\">1.73<\/td>\n<td style=\"padding:12px 16px;color:#374151\">1.73<\/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<\/td>\n<td style=\"padding:12px 16px;color:#374151\">~3.86<\/td>\n<td style=\"padding:12px 16px;color:#374151\">~2.00<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Malpractice RVU<\/td>\n<td style=\"padding:12px 16px;color:#374151\">~0.22<\/td>\n<td style=\"padding:12px 16px;color:#374151\">~0.22<\/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<\/td>\n<td style=\"padding:12px 16px;color:#374151\">~5.81<\/td>\n<td style=\"padding:12px 16px;color:#374151\">~3.95<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">RVU values are updated annually through CMS rulemaking. The estimates above are approximate. Always verify against the current CMS MPFS data file for the applicable fiscal year. The difference between non-facility and facility practice expense RVUs reflects the shift of overhead costs to the hospital or ASC in facility settings.<\/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>Book a demo to see how Pabau, practice management software with built-in clinical documentation, captures the excised diameter and anatomical site directly in the clinical note at the point of care \u2014 cutting out the manual chart lookup that slows claim submission.<\/p>\n            <\/div>\n        <\/div>\n    \n\n\n<h2 id=\"h-modifiers-applicable-to-cpt-code-11442\" class=\"wp-block-heading\">Modifiers applicable to CPT Code 11442<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Applying the wrong modifier, or omitting one when required, is the second most common reason for 11442 claim denials. Each modifier below serves a specific purpose. Using them interchangeably triggers NCCI edits or reduces reimbursement inappropriately.<\/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 to Use<\/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\">Reimbursement Impact<\/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\">51<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Multiple procedures performed at the same encounter; secondary procedures reduced to 50% of fee<\/td>\n<td style=\"padding:12px 16px;color:#374151\">50% reduction on secondary procedure<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">59<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Distinct procedural service; used to unbundle a separately identifiable service with different anatomy or session<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Bypasses NCCI bundling edit when properly documented<\/td>\n<\/tr>\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\">Significant, separately identifiable E\/M service on same day as a procedure<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Allows E\/M payment alongside the procedure<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">LT \/ RT<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Left-side or right-side designation; useful for bilateral ear or eyelid lesions at the same session<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Clarifies laterality; prevents denial as duplicate claim<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">58<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Staged or related procedure performed during a postoperative period<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Opens new global period for second excision<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">Modifier 59 warrants particular attention. Use it only when the clinical documentation clearly supports a distinct anatomical site or separate encounter, not as a blanket tool to bypass bundling edits. Misuse of modifier 59 is one of the top compliance risks flagged by Medicare Administrative Contractors (MACs) in dermatology and plastic surgery audits.<\/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                    Reduce CPT 11442 claim errors before they reach the payer                <\/h3>\n\n                <p class=\"description\">\n                    Pabau&#8217;s clinical documentation tools capture the excised diameter, anatomical site, and selected modifier directly in the clinical record at the point of care, so your billing team has complete data before submission.                <\/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 clinical documentation dashboard\"\n                    loading=\"lazy\"\n                \/>\n            <\/div>\n        <\/div>\n        \n\n\n<h2 id=\"h-icd-10-cm-diagnosis-codes-used-with-cpt-11442\" class=\"wp-block-heading\">ICD-10-CM diagnosis codes used with CPT 11442<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Every CPT 11442 claim requires a supporting ICD-10-CM diagnosis code that establishes medical necessity. Payers, including Medicare under Local Coverage Determinations (LCDs), review the paired diagnosis code to determine whether removal of the lesion was clinically indicated. The ICD-10-CM codes used with CPT Code 11442 must accurately reflect the documented lesion type and anatomical location.<\/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\">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\">Common Use with 11442<\/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\">D23.30<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Other benign neoplasm of skin of unspecified part of face<\/td>\n<td style=\"padding:12px 16px;color:#374151\">General facial benign lesion without specified subsite<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">D23.39<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Other benign neoplasm of skin of other parts of face<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Lesion on chin, forehead, periorbital region<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">D23.10<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Other benign neoplasm of skin of unspecified eyelid<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Eyelid lesion, laterality not specified<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">D23.11<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Other benign neoplasm of skin of right eyelid<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Right eyelid lesion; pair with modifier RT<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">D23.12<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Other benign neoplasm of skin of left eyelid<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Left eyelid lesion; pair with modifier LT<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">L72.0<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Epidermal cyst<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Common on face and ear; frequently excised in office setting<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">L72.11<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Pilar cyst<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Common cyst subtype, frequently excised on the scalp or periauricular skin<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">L72.12<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Trichodermal cyst<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Less common cyst subtype, also excised in the periauricular or facial region<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">D21.0<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Benign neoplasm of connective and other soft tissues of head, face, and neck<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Lipoma or fibroma at facial soft tissue sites<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">Use <a href=\"https:\/\/crosscoder.com\/\" target=\"_blank\" rel=\"nofollow noopener\">CrossCoder&#8217;s crosswalk tool<\/a> to verify that your selected ICD-10-CM code is accepted by your payer&#8217;s LCD before submitting. Not all benign lesion codes are covered under all payer LCDs, particularly when cosmetic motivation is documented in the patient chart. For a searchable reference, the <a href=\"https:\/\/www.aapc.com\/codes\/cpt-codes-range\/\" target=\"_blank\" rel=\"nofollow noopener\">AAPC Codify platform<\/a> provides crosswalk lookups alongside payer policy summaries.<\/p>\n\n\n\n<h2 id=\"h-documentation-requirements-for-cpt-11442\" class=\"wp-block-heading\">Documentation requirements for CPT 11442<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Inadequate documentation is the leading reason payers downcode or deny 11442 claims on post-payment audit. The operative note must contain enough specificity that an auditor, reading only that record, can independently confirm the code selection was correct.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Using digital intake forms and structured clinical notes at the point of care gives your billing team the evidence they need before the claim leaves the practice.<\/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-11442\/customizable-consent-and-intake-forms.webp\" alt=\"Customizable consent and intake forms\"\/><figcaption class=\"wp-element-caption\"><em>Customizable consent and intake forms<\/em><\/figcaption><\/figure>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Excised diameter in centimeters:<\/strong> Record the greatest diameter of the specimen including margins after removal, not the pre-operative estimate.<\/li>\n\n\n\n<li><strong>Anatomical site specificity:<\/strong> Document whether the site is face, ear, eyelid (with laterality), nose, lip, or mucous membrane. Vague terms like \u00abhead\u00bb do not support 11442 over a scalp-series code.<\/li>\n\n\n\n<li><strong>Lesion type:<\/strong> Record the clinical or pathological description (epidermal cyst, dermatofibroma, lipoma, nevus, etc.). This supports the benign diagnosis code pairing.<\/li>\n\n\n\n<li><strong>Pathology report:<\/strong> Some payers require histopathological confirmation to validate the benign designation. Submit pathology results where required by the applicable LCD.<\/li>\n\n\n\n<li><strong>Medical necessity:<\/strong> Document the clinical indication for removal. Cosmetic motivation alone, if noted in the record, creates a coverage risk. If removal is medically indicated (bleeding, irritation, functional obstruction), document that explicitly.<\/li>\n\n\n\n<li><strong>Method of measurement:<\/strong> Note whether the measurement was taken from the excised specimen or from wound dimensions, and confirm it represents the diameter including margins.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Maintaining structured patient records that capture all six elements above prevents the retroactive documentation requests that delay payment. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Practices managing multiple providers who perform benign lesion excisions can apply the same standards to broader medical documentation workflows.<\/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-11442\/comprehensive-patient-records.webp\" alt=\"Comprehensive patient records\"\/><figcaption class=\"wp-element-caption\"><em>Comprehensive patient records<\/em><\/figcaption><\/figure>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 id=\"h-bundling-and-ncci-edits-for-cpt-11442\" class=\"wp-block-heading\">Bundling and NCCI edits for CPT 11442<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The National Correct Coding Initiative (NCCI) governs which codes can be billed together with CPT 11442. Violating NCCI edits leads to automatic claim denial or post-payment recoupment. Knowing which codes are bundled prevents the most expensive billing errors.<\/p>\n\n\n\n<h3 id=\"h-what-is-bundled-into-cpt-11442-by-default\" class=\"wp-block-heading\">What is bundled into CPT 11442 by default<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Simple closure (repair):<\/strong> A simple linear closure of the excision wound is included in the 11442 code and cannot be separately billed. Billing a repair code (e.g., 12011-12021) alongside 11442 for a simple closure triggers an NCCI edit.<\/li>\n\n\n\n<li><strong>Local anesthesia:<\/strong> Administration of local anesthetic for the excision is bundled. It cannot be separately reported.<\/li>\n\n\n\n<li><strong>Routine follow-up visits:<\/strong> Standard postoperative care within the global period (10 days for minor procedures) is included. A separate E\/M during the global period requires modifier 24 (unrelated) or modifier 79 (unrelated procedure).<\/li>\n<\/ul>\n\n\n\n<h3 id=\"h-when-separate-billing-is-allowed\" class=\"wp-block-heading\">When separate billing is allowed<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Complex repair:<\/strong> If wound closure requires layered closure, extensive undermining, or a flap\/graft, the repair code is separately billable. Use modifier 59 on the repair code, and ensure the operative note documents why simple closure was insufficient.<\/li>\n\n\n\n<li><strong>Multiple lesions:<\/strong> Excision of a second distinct lesion at a separate anatomical site is separately billable. Use modifier 51 for multiple procedures, and apply LT\/RT modifiers where laterality applies.<\/li>\n\n\n\n<li><strong>Pathology:<\/strong> CPT codes for pathological examination (88304, 88305) are separately billable when the specimen is submitted for histopathological review.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Practices managing high volumes of benign lesion excisions benefit from standardized billing protocols that flag when a repair code is added to an excision claim. Pabau&#8217;s automated workflow tools can be configured as a custom rule to flag those same encounters for review before submission, rather than relying on staff to catch the pairing manually.<\/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-11442\/automated-communication-in-pabau.webp\" alt=\"Automated communication in Pabau\"\/><figcaption class=\"wp-element-caption\"><em>Automated communication in Pabau<\/em><\/figcaption><\/figure>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 id=\"h-common-coding-errors-and-tips-for-cpt-11442\" class=\"wp-block-heading\">Common coding errors and tips for CPT 11442<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Billing teams that handle benign lesion excisions regularly encounter the same handful of errors. Each one is preventable with clear protocols at the clinical documentation stage, before the claim is coded.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Measuring the lesion instead of the excised specimen:<\/strong> The most common error. A 1.5 cm lesion with 0.4 cm margins on each side produces an excised diameter of 2.3 cm, pushing the code to 11443, not 11442. Document specimen measurement, not pre-op estimate.<\/li>\n\n\n\n<li><strong>Using the wrong site code:<\/strong> Excision of a lesion on the scalp or neck should use the 11420-11426 series. Coders unfamiliar with the anatomical boundaries default to 11442 for anything on the head, which is incorrect for scalp and neck sites.<\/li>\n\n\n\n<li><strong>Billing simple closure separately:<\/strong> As noted above, adding a closure code to a simple excision is an NCCI violation. The repair must be complex to be separately payable.<\/li>\n\n\n\n<li><strong>Missing pathology documentation:<\/strong> Some payer LCDs require a pathology report to confirm benign diagnosis. Submitting without pathology when required leads to post-payment audit exposure.<\/li>\n\n\n\n<li><strong>Not documenting cosmetic vs. medical necessity:<\/strong> If the chart includes any language suggesting the removal was for cosmetic reasons, the payer may deny the claim as non-covered. Review documentation for cosmetic language before submitting.<\/li>\n\n\n\n<li><strong>Incorrect modifier on same-day E\/M:<\/strong> If a new-patient visit and excision occur on the same day, modifier 25 applies to the E\/M code to indicate a separately identifiable service. Omitting it causes the E\/M to be denied.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Maintaining a code-specific checklist for each high-volume procedure reduces error rates by creating a forced review step before submission.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Related CPT codes<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-10005\/\">CPT code 10005 \u2014 Fine Needle Aspiration Biopsy with Ultrasound Guidance<\/a><\/li>\n\n\n<li><a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-11444\/\">CPT Code 11444 \u2014 Benign lesion excision<\/a><\/li>\n\n\n<li><a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-11450\/\">CPT Code 11450 \u2014 Axillary hidradenitis excision<\/a><\/li>\n\n\n<li><a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-11471\/\">CPT Code 11471 \u2014 Hidradenitis excision, complex repair<\/a><\/li>\n<\/ul>\n\n\n\n<h2 id=\"h-how-pabau-supports-cpt-11442-billing-workflows\" class=\"wp-block-heading\">How Pabau supports CPT 11442 billing workflows<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Dermatology and plastic surgery practices billing CPT 11442 regularly face the same operational bottleneck: clinical documentation is captured on paper or in disconnected systems, then manually transcribed into the billing platform. Every manual transfer step introduces the risk of a misrecorded diameter or an unlinked pathology result.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Pabau&#8217;s clinical documentation tools capture the excised diameter, anatomical site, lesion type, and applicable modifier directly in the clinical record at the time of the procedure, so the data flows through to the claim without manual re-entry. For skin clinics and dermatology practices managing multiple providers and locations, this reduces the transcription errors that trigger audits.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The practice management workflows built into Pabau also support pre-submission claim scrubbing, flagging encounters where the clinical documentation may not support the billed code. Book a <a href=\"https:\/\/pabau.com\/book-demo\/\">demo<\/a> to see how this works for benign lesion excision billing specifically.<\/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>Need clear standards for clinical documentation?<\/strong> <a href=\"https:\/\/pabau.com\/blog\/nursing-documentation\/\">Nursing documentation<\/a> best practices cover the same specificity payers expect from any operative note.<\/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>Need a form for releasing patient records?<\/strong> <a href=\"https:\/\/pabau.com\/templates\/authorization-for-release-of-protected-health-information\/\">PHI release form<\/a> template covers what to include before sharing pathology or operative reports.<\/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>Managing aftercare for other skin procedures?<\/strong> <a href=\"https:\/\/pabau.com\/templates\/electrolysis-aftercare\/\">Electrolysis aftercare guide<\/a> shows the same documentation habit that keeps facial excision claims audit-ready.<\/p>\n                        <\/div>\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 11442 is straightforward when the excised diameter measurement is correctly captured \u2014 but that single step is where most billing errors originate. Practices that build the measurement protocol into the operative documentation workflow, before the claim reaches the biller, avoid the denial cycle that costs both time and revenue.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Pabau&#8217;s clinical documentation tools connect the operative record directly to the billing queue, so excised diameter, anatomical site, ICD-10-CM pairing, and modifier selection are all visible before submission. See how it works for your dermatology or skin practice with a demo from the team.<\/p>\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-1784726113265\"><h3 class=\"schema-faq-question\">What is CPT Code 11442?<\/h3> <p class=\"schema-faq-answer\">CPT Code 11442 is the procedure code for excision of a benign lesion including margins on the face, ears, eyelids, nose, lips, or mucous membrane, where the excised diameter is 1.1 to 2.0 centimeters. It is part of the 11440-11446 code family, which covers benign lesion excision on facial and perioral anatomical sites, differentiated by excised specimen size.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1784726113266\"><h3 class=\"schema-faq-question\">What is the Medicare reimbursement rate for CPT 11442?<\/h3> <p class=\"schema-faq-answer\">Medicare reimbursement for CPT 11442 varies by geographic locality and setting. In a non-facility (office) setting, the national average is approximately $185-$205 (around $194). In a facility (hospital or ASC) setting, it is approximately $120-$145 (around $132). Verify the current rate for your locality using the CMS Medicare Physician Fee Schedule lookup tool, as rates are updated annually.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1784726113267\"><h3 class=\"schema-faq-question\">What is the difference between CPT 11440, 11441, and 11442?<\/h3> <p class=\"schema-faq-answer\">All three codes describe excision of a benign lesion on the face, ears, eyelids, nose, lips, or mucous membrane, but differ by excised diameter: 11440 covers 0.5 cm or less, 11441 covers 0.6 to 1.0 cm, and 11442 covers 1.1 to 2.0 cm. The diameter is measured from the excised specimen including margins, not from the visible lesion alone.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1784726113268\"><h3 class=\"schema-faq-question\">Can CPT 11442 be billed with a closure code?<\/h3> <p class=\"schema-faq-answer\">Simple closure is bundled into CPT 11442 and cannot be separately billed. A separate closure code (such as 12011-12021) is only billable when the repair is complex, involving layered closure, undermining, or flap\/graft technique. When a complex repair is separately billed, modifier 59 should be appended and the operative note must document the complexity.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1784726113269\"><h3 class=\"schema-faq-question\">What is the difference between CPT 11442 and CPT 11422?<\/h3> <p class=\"schema-faq-answer\">CPT 11442 and 11422 cover the same excised diameter (1.1 to 2.0 cm) but differ by anatomical site. CPT 11442 applies to the face, ears, eyelids, nose, lips, and mucous membrane. CPT 11422 applies to the scalp, neck, hands, feet, and genitalia. Selecting between them depends solely on where the lesion is located, not its size.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1784726113270\"><h3 class=\"schema-faq-question\">What modifiers apply to CPT Code 11442?<\/h3> <p class=\"schema-faq-answer\">Commonly used modifiers for CPT 11442 include: modifier 51 for multiple procedures at the same encounter, modifier 59 to unbundle a separately identifiable service when documentation supports it, modifier 25 for a significant E\/M service on the same day, and LT\/RT for bilateral lesions on paired structures such as eyelids or ears. Modifier 58 applies when a staged related procedure occurs during the global period.<\/p> <\/div> <\/div>\n","protected":false},"excerpt":{"rendered":"<p>CPT Code 11442 is the procedure code for excision of a benign lesion, including margins, on the face, ears, eyelids, nose, lips, or mucous membrane, where the excised diameter measures 1.1 to 2.0 centimeters. It sits in the middle of the 11440-11446 family. The most common coding error is measuring the visible lesion instead of [&hellip;]<\/p>\n","protected":false},"author":77,"featured_media":161704,"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],"tags":[4276,4274,4273,1600,4275],"class_list":["post-161705","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-billing-codes","category-cpt-codes","tag-11440-11446","tag-benign-lesion-excision","tag-cpt-code-11442","tag-dermatology-cpt-codes","tag-facial-lesion-excision-cpt"],"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 11442: Benign lesion excision on the face<\/title>\n<meta name=\"description\" content=\"CPT Code 11442 covers benign facial lesion excision, 1.1-2.0 cm including margins. See RVUs, modifiers, ICD-10 pairings, and billing tips.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-11442\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"CPT Code 11442: Benign lesion excision on the face\" \/>\n<meta property=\"og:description\" content=\"CPT Code 11442 covers benign facial lesion excision, 1.1-2.0 cm including margins. See RVUs, modifiers, ICD-10 pairings, and billing tips.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-11442\/\" \/>\n<meta property=\"og:site_name\" content=\"Pabau\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/Pabau\/\" \/>\n<meta property=\"article:published_time\" content=\"2026-07-22T14:32:21+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2026-08-17T11:32:09+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/pabau.com\/wp-content\/uploads\/2026\/07\/cpt-code-11442.webp\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"630\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/webp\" \/>\n<meta name=\"author\" content=\"Katy Piper\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@pabaucrm\" \/>\n<meta name=\"twitter:site\" content=\"@pabaucrm\" \/>\n<meta name=\"twitter:label1\" content=\"Escrito por\" \/>\n\t<meta name=\"twitter:data1\" content=\"Katy Piper\" \/>\n\t<meta name=\"twitter:label2\" content=\"Tiempo de lectura\" \/>\n\t<meta name=\"twitter:data2\" content=\"14 minutos\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/cpt-code-11442\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/cpt-code-11442\\\/\"},\"author\":{\"name\":\"Katy Piper\",\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/#\\\/schema\\\/person\\\/5de22f4ff3ec59b1925ef02dce956d7d\"},\"headline\":\"CPT Code 11442: Benign lesion excision on the face\",\"datePublished\":\"2026-07-22T14:32:21+00:00\",\"dateModified\":\"2026-08-17T11:32:09+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/cpt-code-11442\\\/\"},\"wordCount\":2723,\"publisher\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/cpt-code-11442\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/07\\\/cpt-code-11442.webp\",\"keywords\":[\"11440-11446\",\"benign lesion excision\",\"cpt code 11442\",\"Dermatology Cpt Codes\",\"facial lesion excision cpt\"],\"articleSection\":[\"Billing Codes\",\"CPT Codes\"],\"inLanguage\":\"es\"},{\"@type\":[\"WebPage\",\"FAQPage\"],\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/cpt-code-11442\\\/\",\"url\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/cpt-code-11442\\\/\",\"name\":\"CPT Code 11442: Benign lesion excision on the face\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/cpt-code-11442\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/cpt-code-11442\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/07\\\/cpt-code-11442.webp\",\"datePublished\":\"2026-07-22T14:32:21+00:00\",\"dateModified\":\"2026-08-17T11:32:09+00:00\",\"description\":\"CPT Code 11442 covers benign facial lesion excision, 1.1-2.0 cm including margins. 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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\\\/es\\\/#\\\/schema\\\/person\\\/5de22f4ff3ec59b1925ef02dce956d7d\",\"name\":\"Katy Piper\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"es\",\"@id\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/03\\\/cropped-Snip20260306_177-96x96.png\",\"url\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/03\\\/cropped-Snip20260306_177-96x96.png\",\"contentUrl\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/03\\\/cropped-Snip20260306_177-96x96.png\",\"caption\":\"Katy Piper\"},\"description\":\"Katy Piper is a content writer covering aesthetics, dermatology, and clinic operations, with a knack for making clinical detail feel approachable. Outside of work, she's usually chasing her border collie around muddy fields or hunting down the best flat white in town.\",\"url\":\"https:\\\/\\\/pabau.com\\\/es\\\/blog\\\/author\\\/katy-piper\\\/\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/cpt-code-11442\\\/#faq-question-1784726113265\",\"position\":1,\"url\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/cpt-code-11442\\\/#faq-question-1784726113265\",\"name\":\"What is CPT Code 11442?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"CPT Code 11442 is the procedure code for excision of a benign lesion including margins on the face, ears, eyelids, nose, lips, or mucous membrane, where the excised diameter is 1.1 to 2.0 centimeters. It is part of the 11440-11446 code family, which covers benign lesion excision on facial and perioral anatomical sites, differentiated by excised specimen size.\",\"inLanguage\":\"es\"},\"inLanguage\":\"es\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/cpt-code-11442\\\/#faq-question-1784726113266\",\"position\":2,\"url\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/cpt-code-11442\\\/#faq-question-1784726113266\",\"name\":\"What is the Medicare reimbursement rate for CPT 11442?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Medicare reimbursement for CPT 11442 varies by geographic locality and setting. In a non-facility (office) setting, the national average is approximately $185-$205 (around $194). In a facility (hospital or ASC) setting, it is approximately $120-$145 (around $132). Verify the current rate for your locality using the CMS Medicare Physician Fee Schedule lookup tool, as rates are updated annually.\",\"inLanguage\":\"es\"},\"inLanguage\":\"es\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/cpt-code-11442\\\/#faq-question-1784726113267\",\"position\":3,\"url\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/cpt-code-11442\\\/#faq-question-1784726113267\",\"name\":\"What is the difference between CPT 11440, 11441, and 11442?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"All three codes describe excision of a benign lesion on the face, ears, eyelids, nose, lips, or mucous membrane, but differ by excised diameter: 11440 covers 0.5 cm or less, 11441 covers 0.6 to 1.0 cm, and 11442 covers 1.1 to 2.0 cm. The diameter is measured from the excised specimen including margins, not from the visible lesion alone.\",\"inLanguage\":\"es\"},\"inLanguage\":\"es\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/cpt-code-11442\\\/#faq-question-1784726113268\",\"position\":4,\"url\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/cpt-code-11442\\\/#faq-question-1784726113268\",\"name\":\"Can CPT 11442 be billed with a closure code?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Simple closure is bundled into CPT 11442 and cannot be separately billed. A separate closure code (such as 12011-12021) is only billable when the repair is complex, involving layered closure, undermining, or flap\\\/graft technique. When a complex repair is separately billed, modifier 59 should be appended and the operative note must document the complexity.\",\"inLanguage\":\"es\"},\"inLanguage\":\"es\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/cpt-code-11442\\\/#faq-question-1784726113269\",\"position\":5,\"url\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/cpt-code-11442\\\/#faq-question-1784726113269\",\"name\":\"What is the difference between CPT 11442 and CPT 11422?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"CPT 11442 and 11422 cover the same excised diameter (1.1 to 2.0 cm) but differ by anatomical site. CPT 11442 applies to the face, ears, eyelids, nose, lips, and mucous membrane. CPT 11422 applies to the scalp, neck, hands, feet, and genitalia. 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It is part of the 11440-11446 code family, which covers benign lesion excision on facial and perioral anatomical sites, differentiated by excised specimen size.","inLanguage":"es"},"inLanguage":"es"},{"@type":"Question","@id":"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-11442\/#faq-question-1784726113266","position":2,"url":"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-11442\/#faq-question-1784726113266","name":"What is the Medicare reimbursement rate for CPT 11442?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"Medicare reimbursement for CPT 11442 varies by geographic locality and setting. In a non-facility (office) setting, the national average is approximately $185-$205 (around $194). In a facility (hospital or ASC) setting, it is approximately $120-$145 (around $132). Verify the current rate for your locality using the CMS Medicare Physician Fee Schedule lookup tool, as rates are updated annually.","inLanguage":"es"},"inLanguage":"es"},{"@type":"Question","@id":"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-11442\/#faq-question-1784726113267","position":3,"url":"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-11442\/#faq-question-1784726113267","name":"What is the difference between CPT 11440, 11441, and 11442?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"All three codes describe excision of a benign lesion on the face, ears, eyelids, nose, lips, or mucous membrane, but differ by excised diameter: 11440 covers 0.5 cm or less, 11441 covers 0.6 to 1.0 cm, and 11442 covers 1.1 to 2.0 cm. The diameter is measured from the excised specimen including margins, not from the visible lesion alone.","inLanguage":"es"},"inLanguage":"es"},{"@type":"Question","@id":"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-11442\/#faq-question-1784726113268","position":4,"url":"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-11442\/#faq-question-1784726113268","name":"Can CPT 11442 be billed with a closure code?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"Simple closure is bundled into CPT 11442 and cannot be separately billed. A separate closure code (such as 12011-12021) is only billable when the repair is complex, involving layered closure, undermining, or flap\/graft technique. 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Selecting between them depends solely on where the lesion is located, not its size.","inLanguage":"es"},"inLanguage":"es"},{"@type":"Question","@id":"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-11442\/#faq-question-1784726113270","position":6,"url":"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-11442\/#faq-question-1784726113270","name":"What modifiers apply to CPT Code 11442?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"Commonly used modifiers for CPT 11442 include: modifier 51 for multiple procedures at the same encounter, modifier 59 to unbundle a separately identifiable service when documentation supports it, modifier 25 for a significant E\/M service on the same day, and LT\/RT for bilateral lesions on paired structures such as eyelids or ears. 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