AMA CPT® Assistant - 2025 Issue 3 (March)
Coding Brief: Benign Hyperkeratotic Lesions Paring/Cutting vs Epidermal & Dermal Lesions Shaving (March 2025)
March 2025 pages 1-6 Coding Brief: Benign Hyperkeratotic Lesions Paring/Cutting vs Epidermal & Dermal Lesions Shaving Paring or cutting benign hyperkeratotic lesions (11055-11057) and shaving epidermal and dermal lesions (11300-11303, 11305-11308, 11310-11313) are two distinct procedures. Although both involve tissue removal, each serves a distinct purpose and targets a different lesion type. This article clarifies the correct reporting of these procedures. Benign Hyperkeratotic Lesion Removal by Paring or Cutting A hyperkeratotic lesion is a plaque of thick, rough skin caused by hyperkeratosis, which is a thickening of the stratum corneum (dead layer of the skin), that results in lesions...
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Article Overview
This March 2025 CPT® Assistant coding brief addresses the distinction between paring or cutting benign hyperkeratotic lesions and shaving epidermal and dermal lesions. It is intended for coders and billing professionals who need a concise overview of the procedure categories, their general reporting framework, and the types of clinical documentation and coding considerations discussed in the article.
Why This Topic Matters
Correctly distinguishing these procedure categories affects code selection, documentation review, and claim accuracy. The article is relevant for professionals working with dermatology, podiatry, and related outpatient procedure coding.
Article Sections
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Benign Hyperkeratotic Lesion Removal by Paring or Cutting
Introduces the procedure category for benign hyperkeratotic lesions and discusses the general characteristics of the tissue removed. It also describes the broad basis used for code selection within this category.
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Epidermal and Dermal Lesion Removal by Shaving
Introduces shave removal for epidermal and dermal lesions and outlines the broad reporting framework tied to lesion size and location. It also notes the general types of lesions and specimen handling referenced in the article.
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Coding Example 1
Presents a clinical scenario illustrating one of the procedure categories discussed in the article.
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Coding Example 2
Presents a clinical scenario illustrating one of the procedure categories discussed in the article.
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Coding Example 3
Presents a clinical scenario illustrating one of the procedure categories discussed in the article.
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Coding Example 4
Presents a clinical scenario illustrating one of the procedure categories discussed in the article.
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Coding Example 5
Presents a clinical scenario illustrating one of the procedure categories discussed in the article.
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Correct code selection for shaving epidermal or dermal lesions vs paring or cutting benign hyperkeratotic lesions is determined by the following parameters
Summarizes the article's general comparison of documentation and reporting considerations for the two procedure categories. It also references the types of procedural details discussed for each approach.
What You Will Learn
- The two broad lesion-removal procedure categories compared in the article
- How the article frames reporting considerations for lesion removal
- The general documentation elements emphasized for each procedure category
- The kinds of clinical scenarios used to illustrate the distinctions
Who Should Read This
- Medical coders
- Billing staff
- Compliance teams
- Dermatology practices
- Podiatry practices
Codes Discussed
Code Ranges Discussed
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