How To Use cpt 11057

cpt 11057 describes the paring or cutting of more than 4 benign hyperkeratotic lesions, such as corns or calluses. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples of cpt 11057.

1. What is cpt 11057?

cpt 11057 is a code used to describe the paring or cutting of more than 4 benign hyperkeratotic lesions, such as corns or calluses. This procedure involves the use of surgical instruments, such as a scalpel or curette, to remove these lesions. It is typically performed by a healthcare professional in order to alleviate discomfort and improve the patient’s mobility.

2. Official Description

The official description of cpt 11057 is: ‘Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus) more than 4 lesions.’

3. Procedure

  1. The healthcare professional evaluates the size, depth, and location of more than 4 benign hyperkeratotic lesions.
  2. Using a surgical instrument, such as a scalpel, curette, blade, or spoon-shaped instrument, the healthcare professional trims or pares down the lesions.
  3. Antiseptic is applied to the site to prevent infection.
  4. If necessary, pressure points are removed by fitting padding on the site.

4. Qualifying circumstances

cpt 11057 is used when there are more than 4 benign hyperkeratotic lesions that require paring or cutting. These lesions are typically caused by repeated or prolonged pressure on the skin, resulting in the formation of calluses or corns. The procedure is performed by a healthcare professional using surgical instruments. It is important to note that cpt 11057 should not be used to report the destruction of skin tags or cutaneous vascular proliferative lesions.

5. When to use cpt code 11057

cpt 11057 should be used when there are more than 4 benign hyperkeratotic lesions that require paring or cutting. It is important to accurately document the number of lesions and ensure that the procedure is performed by a qualified healthcare professional using appropriate surgical instruments. If the service involves a single lesion, cpt code 11055 should be used. If the service involves 2 to 4 lesions, cpt code 11056 should be used.

6. Documentation requirements

To support a claim for cpt 11057, the healthcare professional must document the following information:

  • Number and location of the benign hyperkeratotic lesions
  • Details of the procedure performed, including the surgical instruments used
  • Date of the procedure
  • Any additional procedures or treatments performed during the same encounter
  • Signature of the healthcare professional performing the procedure

7. Billing guidelines

When billing for cpt 11057, ensure that the procedure involves the paring or cutting of more than 4 benign hyperkeratotic lesions. It is important to accurately document the number of lesions and use the appropriate surgical instruments. cpt 11057 should not be reported with codes for the destruction of skin tags or cutaneous vascular proliferative lesions. Additional tips for reporting cpt 11057 can be found on the official coding resources.

8. Historical information

cpt 11057 was added to the Current Procedural Terminology system on January 1, 1998. There was a code change on January 1, 2008, which clarified the description of the procedure.

9. Similar codes to cpt 11057

Five similar codes to cpt 11057 include:

  • cpt 11055: This code is used for the paring or cutting of a single benign hyperkeratotic lesion.
  • cpt 11056: This code is used for the paring or cutting of 2 to 4 benign hyperkeratotic lesions.
  • cpt 17110: This code is used for the destruction of cutaneous vascular proliferative lesions.
  • cpt 17111: This code is used for the destruction of skin tags.
  • cpt 11200: This code is used for the removal of skin tags by snipping.

9. Examples

  1. A podiatrist performing the paring or cutting of 5 corns on a patient’s feet.
  2. A dermatologist using a curette to remove 6 calluses from a patient’s hands.
  3. A family physician trimming down 7 corns on a patient’s toes using a scalpel.
  4. A nurse practitioner using a spoon-shaped instrument to pare down 8 calluses on a patient’s feet.
  5. A physical therapist removing 9 corns from a patient’s feet to improve their mobility.
  6. A nurse performing the paring or cutting of 10 calluses on a patient’s hands to alleviate discomfort.
  7. A plastic surgeon using a scalpel to trim down 11 corns on a patient’s feet for cosmetic purposes.
  8. An orthopedic surgeon removing 12 calluses from a patient’s hands to improve their grip strength.
  9. A dermatologist using a curette to pare down 13 corns on a patient’s toes to prevent further complications.
  10. A podiatrist performing the paring or cutting of 14 calluses on a patient’s feet to prevent pain and discomfort.

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