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The procedure described by CPT® Code 11302 involves the shaving of a single epidermal or dermal lesion located on the trunk, arms, or legs, specifically when the lesion has a diameter ranging from 1.1 to 2.0 cm. This technique is commonly utilized for the removal of various types of lesions, including pedunculated lesions, seborrheic keratoses, fibrous papules, and other similar growths that possess a minimal dermal component. The shaving procedure is designed to extend only to the middle dermis, ensuring that the underlying subcutaneous layer remains intact, which is crucial for preserving the integrity of the surrounding tissue. Prior to the shaving process, the area is thoroughly cleansed, and a local anesthetic is administered to minimize discomfort for the patient. The actual removal of the lesion is performed using a surgical blade, which may involve making transverse incisions or executing repetitive horizontal slicing motions in the same direction to effectively excise the lesion. Following the removal, the physician inspects the surrounding tissue to confirm that the entire lesion has been excised. To finalize the procedure, the edges of the wound are smoothed, and any bleeding is controlled through the use of electrocautery or chemical cautery. Additionally, the excised lesion is sent to a laboratory for histologic evaluation, which is separately reportable. It is important to note that there are specific CPT® codes designated for lesions of varying sizes: 11300 for lesions measuring 0.5 cm or less, 11301 for lesions measuring 0.6-1.0 cm, 11302 for lesions measuring 1.1-2.0 cm, and 11303 for lesions exceeding 2.0 cm in diameter.
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