CPT® Code 11303

The procedure described by CPT® Code 11303 involves the shaving of a single epidermal or dermal lesion located on the trunk, arms, or legs, specifically when the lesion has a diameter exceeding 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 either a transverse incision or repetitive horizontal slicing 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 shaved specimen is sent to a laboratory for histologic evaluation, which is reportable separately. This code is part of a series that categorizes lesion removals based on their size, with specific codes designated for lesions of varying diameters, ensuring accurate coding and billing for the procedure performed.