{"id":180175,"date":"2026-08-17T06:04:52","date_gmt":"2026-08-17T06:04:52","guid":{"rendered":"https:\/\/pabau.com\/?p=180175"},"modified":"2026-08-18T13:02:35","modified_gmt":"2026-08-18T13:02:35","slug":"cpt-code-11311","status":"publish","type":"post","link":"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-11311\/","title":{"rendered":"CPT code 11311: Shaving of a facial lesion"},"content":{"rendered":"\n<script type=\"application\/ld+json\">{\"@context\":\"https:\/\/schema.org\",\"@type\":\"MedicalWebPage\",\"headline\":\"CPT code 11311: Shaving of a facial lesion, 0.6 to 1.0 cm\",\"description\":\"CPT code 11311 billing reference for shave removal of a 0.6 to 1.0 cm lesion of the face, ears, eyelids, nose, lips, or mucous membrane. Covers 2026 RVUs, reimbursement, modifiers, ICD-10 pairings, and documentation.\",\"url\":\"https:\/\/pabau.com\/procedure-codes\/cpt-code-11311\/\",\"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\":\"2026-08-10\",\"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 11311 covers the shaving of a single epidermal or dermal lesion measuring 0.6 to 1.0 cm. The listed sites are the face, ears, eyelids, nose, lips, and mucous membrane.<\/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>Every code from 11300 to 11313 uses the same epidermal or dermal wording. Only the anatomic group and the measured diameter separate one code from another.<\/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>Measure the lesion before removal and never add surgical margins to reach a tier. Margins belong to the excision codes.<\/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 1.07 work RVUs and 3.96 total non-facility RVUs. That is about $132 nationally before any geographic adjustment.<\/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 clinical indication in one patient record. Your coder and any reviewer then read the same note.<\/p>\n                        <\/div>\n                                                <\/div>\n        <\/div>\n    \n\n\n<p class=\"wp-block-paragraph\"><strong>CPT code 11311<\/strong> bills the shave removal of a single epidermal or dermal lesion measuring 0.6 to 1.0 cm. The listed sites are the face, ears, eyelids, nose, lips, and mucous membrane.<\/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. A lesion of this size on the scalp or the forearm belongs to a different series and pays a different amount.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Below you get the official descriptor, the full 11300 to 11313 selection grid, and the 2026 RVUs. Modifiers, ICD-10 pairings, documentation requirements, and common coding errors follow after that.<\/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-11311-definition-and-clinical-description\" class=\"wp-block-heading\">CPT code 11311: definition and clinical description<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>CPT code 11311<\/strong> describes the shaving of a single epidermal or dermal lesion measuring 0.6 to 1.0 cm. Specifically, the listed sites are the face, ears, eyelids, nose, lips, and mucous membrane.<\/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. Per the <a href=\"https:\/\/www.ama-assn.org\/practice-management\/cpt\/cpt-code-set-overview\" target=\"_blank\" rel=\"nofollow noopener\">AMA CPT code set overview<\/a>, shaving means sharp removal with a blade or razor, without a full-thickness dermal excision.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The lesion comes off at or just below the plane of the surrounding skin. The base is then left to heal by secondary intention, so 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. Intent does change it. If the clinician performed a tangential biopsy for diagnosis, the biopsy codes apply instead.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Two conditions must both be true before you can report 11311. The lesion has to sit in the facial anatomic group, and the measured diameter has to fall between 0.6 and 1.0 cm.<\/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, face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 0.6 to 1.0 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 0.6-1.0 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\">Face, ears, eyelids, nose, lips, mucous membrane<\/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\">0.6 to 1.0 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-11311-and-the-adjacent-shave-removal-codes\" class=\"wp-block-heading\">How to choose between 11311 and the adjacent shave removal codes<\/h2>\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 11300-11313 family is three anatomic series of four size tiers each, and nothing else. Codes 11300-11303 cover the trunk, arms, and legs. Codes 11305-11308 cover the scalp, neck, hands, feet, and genitalia, and codes 11310-11313 cover the face, ears, eyelids, nose, lips, and mucous membrane.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Within each series the four tiers step up by size. 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 code 11311 is the second tier of the facial series.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">One thing the descriptors never do is separate codes by tissue depth. All fourteen carry the identical phrase, epidermal or dermal lesion. A note that records how deep the shave went is useful clinically, but it cannot move you from one code to another.<\/p>\n\n\n\n<h3 id=\"h-2026-rvu-comparison-across-the-family\" class=\"wp-block-heading\">2026 RVU comparison across the family<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">The grid below carries the 2026 total non-facility RVU for every code in the family, taken from the CMS Physician Fee Schedule relative value files. Read it as a price list for getting the series wrong.<\/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:center;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\">11300<\/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;text-align:center\">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;text-align:center\">3.48<\/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-11302\/\" rel=\"noopener\">11302<\/a><\/td>\n<td style=\"padding:12px 16px;color:#374151\">Trunk, arms, or legs<\/td>\n<td style=\"padding:12px 16px;color:#374151\">1.1 to 2.0 cm<\/td>\n<td style=\"padding:12px 16px;color:#374151;text-align:center\">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\">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;text-align:center\">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;text-align:center\">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;text-align:center\">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;text-align:center\">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\">11308<\/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;text-align:center\">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;text-align:center\">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\"><strong>11311<\/strong><\/td>\n<td style=\"padding:12px 16px;color:#374151\"><strong>Face, ears, eyelids, nose, lips, mucous membrane<\/strong><\/td>\n<td style=\"padding:12px 16px;color:#374151\"><strong>0.6 to 1.0 cm<\/strong><\/td>\n<td style=\"padding:12px 16px;color:#374151;text-align:center\"><strong>3.96<\/strong><\/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;text-align:center\">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;text-align:center\">5.29<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">The facial series pays the most at every tier, which is why habit is expensive here. A 0.8 cm lesion on the cheek billed as 11306 gives up 0.43 RVU, or about $14 per claim at the 2026 national rate. Billed as 11301 it gives up 0.48 RVU, close to $16.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The size boundary below 11311 is worth the same kind of arithmetic. One millimeter separates a 0.5 cm lesion from a 0.6 cm lesion, and it separates 11310 from 11311. That millimeter is worth 0.62 RVU, or roughly $21 per claim.<\/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 before you remove, not after. Specimens contract once they are off the patient, and the pre-procedure diameter is the figure that sets the code. The CMS billing article <a href=\"https:\/\/www.cms.gov\/medicare-coverage-database\/view\/article.aspx?articleId=57113\" target=\"_blank\" rel=\"nofollow noopener\">A57113<\/a> states that the measurement is made prior to removal.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Practices using an integrated <a href=\"https:\/\/pabau.com\/features\/measurements-tracking-software\/\" rel=\"noopener\">measurements tracking tool<\/a> can capture that number at the point of care. The alternative is reconstructing it from memory weeks later, which no reviewer accepts.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">One rule separates this family from the excision codes. Shave removal is sized on the lesion diameter alone. Excision codes are sized on the lesion plus the narrowest margin, doubled, so adding margins to a shave measurement quietly overstates the tier.<\/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>Record the diameter to one decimal place in centimeters, as a required numeric field rather than free text. On the face, the 0.5 and 1.0 cm boundaries sit one millimeter from the next tier in either direction. A note reading around 1 cm cannot defend either 11311 or 11312, while 0.9 cm measured prior to removal defends 11311 on its own.<\/p>\n            <\/div>\n        <\/div>\n    \n\n\n<h2 id=\"h-where-the-facial-series-stops-eyelid-lip-and-mucous-membrane-boundaries\" class=\"wp-block-heading\">Where the facial series stops: eyelid, lip, and mucous membrane boundaries<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The facial series is the only one in this family that borders other CPT chapters. That is where most of its miscoding happens. Three boundaries are worth knowing before you report 11311.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Eyelids.<\/strong> Use 11310-11313 when the lesion involves mainly the skin of the eyelid. Once the removal takes in the lid margin, the tarsus, or the palpebral conjunctiva, the eyelid excision codes apply, and 67840 is the usual choice. The operative note has to say which structures came off.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Lips.<\/strong> A lesion on the skin of the lip stays in this family. A lesion on the vermilion border or the mucosal surface is a different anatomic target, and it also takes a different ICD-10 code.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Mucous membrane.<\/strong> The descriptor does include mucous membrane, so an intraoral shave can be reported here. If the documentation instead describes excision of mucosa and submucosa of the vestibule of the mouth, the 40810-40816 family is the accurate one.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Within that range, the repair performed selects the code.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>40810:<\/strong> excision of a lesion of the mouth vestibule, without repair.<\/li>\n\n\n\n<li><strong>40812:<\/strong> the same excision with simple repair.<\/li>\n\n\n\n<li><strong>40814:<\/strong> the same excision with complex repair.<\/li>\n\n\n\n<li><strong>40816:<\/strong> complex excision that also removes underlying muscle.<\/li>\n<\/ul>\n\n\n\n<h2 id=\"h-shave-removal-vs-biopsy-vs-excision-coding-differences\" class=\"wp-block-heading\">Shave removal vs. biopsy vs. excision: coding differences<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Miscoding a shave removal as a biopsy or an excision is one of the steadier audit findings in dermatology. The three procedures differ by technique, depth, closure, and code family.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">CMS article A57113 is explicit on the biopsy boundary, and it tells you not to report 11300-11313 when a tangential shave biopsy was performed. Each additional lesion sampled in that session takes the add-on code <a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-11103\/\" rel=\"noopener\">11103<\/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\">Feature<\/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\">Shave removal (11311)<\/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\">Biopsy (11102)<\/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\">Excision (11441)<\/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\">Technique<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Blade or razor, tangential removal at the skin plane<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Tangential, punch, or incisional sampling<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Full-thickness removal with margins<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Tissue depth<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Epidermis and dermis, without full-thickness excision<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Sample of the lesion, may reach subcutis<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Full thickness, may include subcutaneous tissue<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Primary intent<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Therapeutic removal<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Diagnosis<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Therapeutic removal with clear margins<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Closure<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Secondary intention, no suture<\/td>\n<td style=\"padding:12px 16px;color:#374151\">May need a suture<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Primary closure, complex repair coded separately<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">How size is set<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Lesion diameter only<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Not size based<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Lesion diameter plus narrowest margin, doubled<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Face code family<\/td>\n<td style=\"padding:12px 16px;color:#374151\">11310-11313<\/td>\n<td style=\"padding:12px 16px;color:#374151\"><a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-11102\/\" rel=\"noopener\">11102<\/a>-11107<\/td>\n<td style=\"padding:12px 16px;color:#374151\">11440-11446, 11640-11646<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Pathology<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Optional, does not change the code<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Expected, the point of the procedure<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Standard practice<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">2026 total non-facility RVU<\/td>\n<td style=\"padding:12px 16px;color:#374151\">3.96<\/td>\n<td style=\"padding:12px 16px;color:#374151\">2.86<\/td>\n<td style=\"padding:12px 16px;color:#374151\">5.20<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">Destruction is a fourth pathway that gets folded in by mistake. Freezing or curetting a premalignant lesion such as an actinic keratosis is destruction, and it belongs to <a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-17000\/\" rel=\"noopener\">17000<\/a>-17004. That family is sized by lesion count, not by diameter.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Debridement sits in the same chapter and is sized on a third basis again. Removing devitalized tissue down to muscle or fascia is <a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-11043\/\" rel=\"noopener\">11043<\/a>, measured in square centimeters of surface area.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Skin tags are a separate carve-out as well. They are reported with <a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-11200\/\" rel=\"noopener\">11200<\/a> and counted rather than measured, however small the tag on the eyelid or neck happens to be.<\/p>\n\n\n\n<h2 id=\"h-cpt-11311-rvu-values-for-2026\" class=\"wp-block-heading\">CPT 11311 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. Work RVU covers clinician time and skill. Practice expense RVU covers overhead, and it splits by setting because office overhead differs from hospital overhead. Malpractice RVU covers professional liability.<\/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:center;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;text-align:center\">1.07<\/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;text-align:center\">2.78<\/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;text-align:center\">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;text-align:center\">0.11<\/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;text-align:center\">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\">Total RVU (facility)<\/td>\n<td style=\"padding:12px 16px;color:#374151;text-align:center\">1.52<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">The setting difference on this code is unusually wide. The non-facility total is more than two and a half times the facility total. The office absorbs the supplies, the room, and the staff time.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Verify the current year with the <a href=\"https:\/\/www.cms.gov\/medicare\/physician-fee-schedule\/search\/overview\" target=\"_blank\" rel=\"nofollow noopener\">CMS Physician Fee Schedule search tool<\/a> before you use these numbers in a compensation model.<\/p>\n\n\n\n<h2 id=\"h-reimbursement-rates-for-cpt-code-11311\" class=\"wp-block-heading\">Reimbursement rates for CPT code 11311<\/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. Qualifying alternative payment model participants are paid at $33.5675, and everyone else at $33.4009.<\/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:center;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:center;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;text-align:center\">3.96<\/td>\n<td style=\"padding:12px 16px;color:#374151;text-align:center\">$132.27<\/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 ASC)<\/td>\n<td style=\"padding:12px 16px;color:#374151;text-align:center\">1.52<\/td>\n<td style=\"padding:12px 16px;color:#374151;text-align:center\">$50.77<\/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. Treat these figures as the national baseline rather than as 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. CMS billing and coding article A57113, 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 not a covered service. That line gets tested more often on the face than anywhere else, since a facial lesion a patient dislikes may be entirely asymptomatic.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>The lesion must cause documented symptoms such as bleeding, itching, pain, or repeated irritation<\/li>\n\n\n\n<li>The clinical indication belongs in the physician note, not only in the diagnosis code<\/li>\n\n\n\n<li>A lesion obstructing vision at the eyelid or interfering with eyeglass wear supports a functional indication<\/li>\n\n\n\n<li>For an elective cosmetic removal, the patient signs an Advance Beneficiary Notice before the service<\/li>\n\n\n\n<li>Local coverage determinations from your Medicare Administrative Contractor can add criteria, so check the one that applies to you<\/li>\n<\/ul>\n\n\n\n<h3 id=\"h-bundling-and-ncci-edits-for-cpt-11311\" class=\"wp-block-heading\">Bundling and NCCI edits for CPT 11311<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">CPT 11311 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. The bilateral surgery indicator is 9, so the bilateral payment rule does not apply to this code at all.<\/p>\n\n\n\n<h2 id=\"h-modifiers-for-cpt-code-11311\" class=\"wp-block-heading\">Modifiers for CPT code 11311<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Modifiers add context about how a procedure was performed without changing the code itself. Which ones you need depends on the scenario and the payer. Medicare rules and commercial payer rules diverge here more than coders expect, so confirm before you submit.<\/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\">Billing 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\">Modifier 59<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Two or more distinct lesions removed in the same session<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Marks the second lesion as a separate procedural service and clears the bundling edit<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Modifier XS<\/td>\n<td style=\"padding:12px 16px;color:#374151\">The distinct lesion is on a separate anatomic structure, such as the nose and the ear<\/td>\n<td style=\"padding:12px 16px;color:#374151\">A more specific alternative to 59 that some payers now require<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Modifier 25<\/td>\n<td style=\"padding:12px 16px;color:#374151\">A significant, separate E\/M service on the day of the procedure<\/td>\n<td style=\"padding:12px 16px;color:#374151\">The E\/M must go beyond the pre-procedure assessment and be documented on its own<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Modifier RT \/ LT<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Paired structures such as the right or left ear<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Informational for this code, since the bilateral payment rule does not apply<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Modifier 76<\/td>\n<td style=\"padding:12px 16px;color:#374151\">The identical procedure is repeated on the same lesion by the same clinician<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Not for separate lesions billed under the same code. That scenario takes modifier 59 or XS<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<h2 id=\"h-icd-10-codes-commonly-billed-with-cpt-code-11311\" class=\"wp-block-heading\">ICD-10 codes commonly billed with CPT code 11311<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Every CPT claim needs a diagnosis code that establishes medical necessity. On the face this is a specificity problem more than a selection problem. Several of the relevant codes are category headers rather than billable codes.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The diagnosis also has to sit in the same anatomic region as the procedure. A scalp and neck code such as D22.4 contradicts an 11311 claim. A reviewer reads that mismatch as evidence the wrong CPT code was chosen. 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\">D23.39<\/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\">The workhorse pairing for nose, cheek, chin, and forehead lesions. D23.3 alone is not billable<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">D23.111 \/ D23.112<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Other benign neoplasm of skin of right upper or right lower eyelid, including canthus<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Left-side equivalents are D23.121 and D23.122. Laterality and lid are both required<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">D23.21 \/ D23.22<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Other benign neoplasm of skin of right or left ear and external auricular canal<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Covers the auricle and the external canal<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">D23.0<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Other benign neoplasm of skin of lip<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Skin of the lip only. A vermilion border lesion maps to D10.0 instead<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">D10.0<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Benign neoplasm of lip<\/td>\n<td style=\"padding:12px 16px;color:#374151\">The mucous membrane pairing for vermilion border and mucosal lip 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\">D22.39<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Melanocytic nevi of other parts of face<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Use when the record documents a nevus rather than 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\">L82.0<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Inflamed seborrheic keratosis<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Carries the symptom in the code itself, which supports medical necessity directly<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">L82.1<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Other seborrheic keratosis<\/td>\n<td style=\"padding:12px 16px;color:#374151\">The code carries no anatomic site, so the note has to state the facial location<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\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 of an actinic keratosis is reported with 17000-17004, not with a shave removal 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\">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 and pathology is still pending<\/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, and on the eyelid it is also a straightforward denial.<\/p>\n\n\n\n<h2 id=\"h-documentation-requirements-for-cpt-code-11311\" class=\"wp-block-heading\">Documentation requirements for CPT code 11311<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Documentation decides whether an 11311 claim survives review. 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\/features\/patient-intake-software\/\" rel=\"noopener\">Digital clinical forms<\/a> help here, because they capture the required fields at the point of care instead of leaving them to be reconstructed afterward. A note reading lesion removed from face supports nothing.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img fetchpriority=\"high\" decoding=\"async\" width=\"970\" height=\"680\" src=\"https:\/\/pabau.com\/wp-content\/uploads\/2026\/03\/Build-custom-forms-or-use-ready-made-templates.webp\" alt=\"Building a custom medical form from components in Pabau's form builder\" class=\"wp-image-133472\" srcset=\"https:\/\/pabau.com\/wp-content\/uploads\/2026\/03\/Build-custom-forms-or-use-ready-made-templates.webp 970w, https:\/\/pabau.com\/wp-content\/uploads\/2026\/03\/Build-custom-forms-or-use-ready-made-templates-300x210.webp 300w, https:\/\/pabau.com\/wp-content\/uploads\/2026\/03\/Build-custom-forms-or-use-ready-made-templates-768x538.webp 768w\" sizes=\"(max-width: 970px) 100vw, 970px\" \/><figcaption class=\"wp-element-caption\"><em>Pabau&#8217;s form builder assembles a shave removal note from required components. The site and the measured diameter behind an 11311 claim are never left blank.<\/em><\/figcaption><\/figure>\n\n\n\n<div style=\"height:35px;width:800px\" 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 left nasal ala rather than face. It has to fall inside the 11310-11313 group.<\/li>\n\n\n\n<li><strong>Lesion diameter:<\/strong> record the measurement in centimeters, taken before removal. State it plainly, as in 0.8 cm measured prior to removal.<\/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. Medicare needs bleeding, irritation, pain, or functional impairment, not a cosmetic preference.<\/li>\n\n\n\n<li><strong>Eyelid detail:<\/strong> for an eyelid lesion, state whether the lid margin, tarsus, or palpebral conjunctiva was involved. That sentence decides between 11311 and 67840.<\/li>\n\n\n\n<li><strong>Pathology disposition:<\/strong> note whether a specimen went to the laboratory. If none was sent, a one-line 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<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\">Errors in this family cluster around the anatomic series, the size tier, and confusion with neighboring code families. Each one maps to a documentation control that removes it. Build the control into the template and the error stops recurring.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Reaching for 11306 by habit:<\/strong> that code covers the scalp, neck, hands, feet, and genitalia at the same 0.6 to 1.0 cm size. A 0.8 cm lesion on the cheek or the ear is 11311.<\/li>\n\n\n\n<li><strong>Billing 11311 for a trunk or limb lesion:<\/strong> a 0.8 cm lesion on the forearm is 11301. The three anatomic series are mutually exclusive.<\/li>\n\n\n\n<li><strong>Sliding one tier by size:<\/strong> a facial lesion measured at 0.5 cm is 11310, and one at 1.2 cm is 11312. Billing a tier the measurement does not support is an error either way.<\/li>\n\n\n\n<li><strong>Choosing a code on tissue depth:<\/strong> every code in 11300-11313 says epidermal or dermal lesion. No pair of codes in the family is separated by how deep the shave went.<\/li>\n\n\n\n<li><strong>Adding margins to the measurement:<\/strong> margins belong to the excision codes. A 0.5 cm facial lesion does not become 11311 because the clinician took a 0.2 cm margin.<\/li>\n\n\n\n<li><strong>Coding a tangential biopsy as a shave removal:<\/strong> CMS article A57113 says not to report 11300-11313 when a shave biopsy was performed. Diagnostic sampling belongs to 11102-11107.<\/li>\n\n\n\n<li><strong>Pairing a mismatched diagnosis:<\/strong> a scalp or neck diagnosis code on an 11311 claim invites review, because the site contradicts the procedure code.<\/li>\n\n\n\n<li><strong>Dropping modifier 25 on a same-day visit:<\/strong> a separately identifiable E\/M without the modifier gets bundled into the procedure and is not paid.<\/li>\n<\/ul>\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>Run a five-chart spot check before your next batch of shave removal claims. Pull five recent notes and confirm each one names the exact site, gives a pre-removal measurement in centimeters, describes the technique, and states the indication. If the same field is missing twice, it is a template problem rather than a coder problem. Fixing the template clears every future claim at once.<\/p>\n            <\/div>\n        <\/div>\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 11311 problems start before anyone builds a claim. The clinician records the procedure in one place. The coder then works from a summary that has lost the measurement or blurred the exact site.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Practice management software like Pabau removes that second copy. The note your coder reads is the note the clinician wrote.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The practical fix is a procedure template that will not close with a required field empty. Pabau&#8217;s <a href=\"https:\/\/pabau.com\/industry\/skin-clinic-software\/\" rel=\"noopener\">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 11311 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:\/\/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 activity in one view\"\/><figcaption class=\"wp-element-caption\"><em>Pabau&#8217;s patient record holds the note, the history, and the timeline in one view. The evidence behind an 11311 claim is still there when a payer asks months later.<\/em><\/figcaption><\/figure>\n\n\n\n<div style=\"height:35px;width:800px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"wp-block-paragraph\">Pabau&#8217;s role in a US practice is the record rather than the clearinghouse. Your biller or billing service submits to Medicare, and what Pabau gives them is a complete, timestamped chart to code from.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">When a reviewer requests support for a claim, everything comes out of one system. The procedure note, the photographs, the diagnosis codes, and the audit trail sit together rather than in three places.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">For <a href=\"https:\/\/pabau.com\/industry\/dermatology-emr-software\/\" rel=\"noopener\">dermatology EMR software<\/a> users, that consistency is what shortens an audit response. The documentation baseline is built into every encounter rather than added afterward.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Practices that combine Pabau&#8217;s <a href=\"https:\/\/pabau.com\/features\/medical-records-management\/\" rel=\"noopener\">patient record management<\/a> with its <a href=\"https:\/\/pabau.com\/features\/compliance-management-software\/\" rel=\"noopener\">compliance management tools<\/a> spend less administrative time on records requests.<\/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 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\">Getting 11311 right is a documentation habit more than a coding decision. Both conditions the code depends on are settled at the chairside, long before anyone opens a billing screen.<\/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. The rest come from a coder defaulting to the scalp and neck series out of habit. Depth language the descriptors never asked for accounts for a few more.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Measure first, name the exact site, describe the technique, and say why the lesion had to go. On the eyelid, add a line about which structures were removed.<\/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 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 facial lesion 0.5 cm or smaller?<\/strong> <a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-11310\/\" rel=\"noopener\">CPT code 11310<\/a> is the first tier of the same series, covering the face, ears, eyelids, nose, lips, and mucous membrane.<\/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>Does the lesion measure 1.1 to 2.0 cm?<\/strong> <a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-11312\/\" rel=\"noopener\">CPT code 11312<\/a> is the next tier up, with its own RVUs and payment amounts.<\/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>Is the facial lesion larger than 2.0 cm?<\/strong> <a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-11313\/\" rel=\"noopener\">CPT code 11313<\/a> is the top tier of the facial series.<\/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-11441\/\" rel=\"noopener\">CPT code 11441<\/a> covers excision of a benign facial lesion in the same 0.6 to 1.0 cm 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 A57113 tells you to use instead.<\/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-1786694261890\"><h3 class=\"schema-faq-question\">What is CPT code 11311 used for?<\/h3> <p class=\"schema-faq-answer\">CPT code 11311 bills the shaving of a single epidermal or dermal lesion measuring 0.6 to 1.0 cm. The listed sites are the face, ears, eyelids, nose, lips, and mucous membrane. It covers sharp removal with a blade or razor, without a full-thickness excision. The base heals by secondary intention rather than by suture closure.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786694261891\"><h3 class=\"schema-faq-question\">What is the difference between CPT 11311 and CPT 11306?<\/h3> <p class=\"schema-faq-answer\">Only the anatomic group differs. CPT 11311 covers the face, ears, eyelids, nose, lips, and mucous membrane, while 11306 covers the scalp, neck, hands, feet, and genitalia. Both take a lesion of 0.6 to 1.0 cm, and both use identical wording about epidermal or dermal tissue. Tissue depth never separates the two codes.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786694261892\"><h3 class=\"schema-faq-question\">What are the RVU values and Medicare payment for CPT code 11311?<\/h3> <p class=\"schema-faq-answer\">For 2026, CPT code 11311 carries a work RVU of 1.07 and a malpractice RVU of 0.11. The practice expense RVU is 2.78 in the non-facility setting and 0.34 in the facility setting. That gives 3.96 total non-facility RVUs and 1.52 total facility RVUs. At the 33.4009 dollar conversion factor, the national amounts are about 132.27 dollars and 50.77 dollars.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786694261894\"><h3 class=\"schema-faq-question\">Does Medicare cover shave removal of a benign facial lesion?<\/h3> <p class=\"schema-faq-answer\">Medicare covers it only when the record documents medical necessity, per CMS billing and coding article A57113. Bleeding, itching, pain, repeated irritation, or a functional problem all qualify. Cosmetic removal of an asymptomatic lesion is not covered, and the patient signs an Advance Beneficiary Notice first. Your Medicare Administrative Contractor may add local criteria.<\/p> <\/div> <\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>CPT code 11311 bills the shave removal of a single epidermal or dermal lesion measuring 0.6 to 1.0 cm. The listed sites are the face, ears, eyelids, nose, lips, and mucous membrane. The American Medical Association (AMA) owns the CPT code set, and it splits the shaving family into three anatomic series. A lesion of [&hellip;]<\/p>\n","protected":false},"author":84,"featured_media":180174,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_yoast_wpseo_linkdex":"89","_yoast_wpseo_content_score":"90","_yoast_wpseo_is_cornerstone":"","_yoast_wpseo_keywordsynonyms":"[\"\",\"\",\"\",\"\",\"\"]","_yoast_wpseo_focuskw_text_input":"","_seo_original_html":"","footnotes":""},"categories":[1433,1546],"tags":[1364,4126,1600,1236],"class_list":["post-180175","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-billing-codes","category-cpt-codes","tag-billing","tag-cpt","tag-dermatology-cpt-codes","tag-medicare-reimbursement"],"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 11311: Shaving of a facial lesion<\/title>\n<meta name=\"description\" content=\"CPT code 11311 covers shave removal of a 0.6-1.0 cm lesion on the face, ears, eyelids, nose or lips. 2026 RVUs, modifiers.\" \/>\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-11311\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"CPT code 11311: Shaving of a facial lesion\" \/>\n<meta property=\"og:description\" content=\"CPT code 11311 covers shave removal of a 0.6-1.0 cm lesion on the face, ears, eyelids, nose or lips. 2026 RVUs, modifiers.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-11311\/\" \/>\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\" 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Outside of work, she enjoys photography, weekend getaways, and finding inspiration in everyday experiences.","url":"https:\/\/pabau.com\/es\/blog\/author\/despina-petrushevska\/"},{"@type":"Question","@id":"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-11311\/#faq-question-1786694261890","position":1,"url":"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-11311\/#faq-question-1786694261890","name":"What is CPT code 11311 used for?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"CPT code 11311 bills the shaving of a single epidermal or dermal lesion measuring 0.6 to 1.0 cm. The listed sites are the face, ears, eyelids, nose, lips, and mucous membrane. It covers sharp removal with a blade or razor, without a full-thickness excision. The base heals by secondary intention rather than by suture closure.","inLanguage":"es"},"inLanguage":"es"},{"@type":"Question","@id":"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-11311\/#faq-question-1786694261891","position":2,"url":"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-11311\/#faq-question-1786694261891","name":"What is the difference between CPT 11311 and CPT 11306?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"Only the anatomic group differs. CPT 11311 covers the face, ears, eyelids, nose, lips, and mucous membrane, while 11306 covers the scalp, neck, hands, feet, and genitalia. Both take a lesion of 0.6 to 1.0 cm, and both use identical wording about epidermal or dermal tissue. Tissue depth never separates the two codes.","inLanguage":"es"},"inLanguage":"es"},{"@type":"Question","@id":"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-11311\/#faq-question-1786694261892","position":3,"url":"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-11311\/#faq-question-1786694261892","name":"What are the RVU values and Medicare payment for CPT code 11311?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"For 2026, CPT code 11311 carries a work RVU of 1.07 and a malpractice RVU of 0.11. The practice expense RVU is 2.78 in the non-facility setting and 0.34 in the facility setting. That gives 3.96 total non-facility RVUs and 1.52 total facility RVUs. At the 33.4009 dollar conversion factor, the national amounts are about 132.27 dollars and 50.77 dollars.","inLanguage":"es"},"inLanguage":"es"},{"@type":"Question","@id":"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-11311\/#faq-question-1786694261894","position":4,"url":"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-11311\/#faq-question-1786694261894","name":"Does Medicare cover shave removal of a benign facial lesion?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"Medicare covers it only when the record documents medical necessity, per CMS billing and coding article A57113. Bleeding, itching, pain, repeated irritation, or a functional problem all qualify. Cosmetic removal of an asymptomatic lesion is not covered, and the patient signs an Advance Beneficiary Notice first. 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