cpt 11402, cpt code 11402, 11402 cpt code

CPT Code 11402 | Description, Procedure & Billing Guidelines (2022)

Report CPT code 11402 for excision of benign lesions between 1.1 and 2.0 centimeters on the skin of the patient’s legs, arms, or trunk.

1. What Is CPT Code 11402?

CPT 11402 covers the excises of a noncancerous lesion between 1.1 and 2.0 centimeters in diameter with margins included. A skin tag is excluded, and the lesions can be on the skin of the patient’s legs, arms, or trunk.

2. Description

The CPT book describes 11402 as follows: “Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 1.1 to 2.0 cm.”

3. Procedure

The 11402 CPT code procedure begins with anesthetizing the skin area that needs to be excised. Then, the provider takes a bladed instrument before they excise into the tissue to remove the entire lesion.

The benign (non-cancerous) lesion is between 1.1 and 2.0 centimeters, and the provider cuts the tissue in a circular, wedge, or elliptical shape to remove it.

The lesion, or part of it, can be sent to the laboratory for analysis. Finally, they close the wound in a single layer and check for bleeding.

4. How To Use CPT Code 11402

You can use CPT code 11402 only for lesions between 1.1 and 2.0 centimeters. You can report the following codes for lesions with a smaller or bigger diameter.

Report modifier 59 with CPT 11402 if the provider excised multiple lesions of different sizes.

There are a lot of codes available for excision and shaving. To understand the differences between these codes, look into the depth of the removal.

Report CPT 11406 for this procedure but with a lesion greater than 4.0 centimeters in diameter.

Report CPT 11404 for the same procedure but with a lesion between 3.1 and 4.0 centimeters.

Use CPT 11403 for the same procedure but with lesions between 2.1 and 3.0 centimeters.

You can use CPT code 11401 for lesions between 0.6 and 1 centimeters; finally, you bill CPT 11400 for lesions of 0.5 centimeters or less.

5. Resources

CPT Professional 2022

https://www.aapc.com/blog/26192-skin-lesion-excision/

https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=57482&ver=7&

https://www.aapc.com/blog/46648-excision-of-benign-or-malignant-skin-lesion/

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