Crystal's Coder Hub🩺 CPT 11300 — Shave Removal, Trunk/Arms/Legs; Lesion Diameter 0.5 cm or Less
Quick Reference
wRVU: 0.57 | Global Period: 000 (Same Day) | Assistant Payable: ❌ No | Bilateral Indicator: 3
📋 Clinical Description
CPT 11300 describes the shave removal of a single epidermal or dermal lesion located on the trunk, arms, or legs, with a lesion diameter of 0.5 cm or less, including local anesthesia. The provider uses a tangential slicing technique — a blade held at an angle parallel or oblique to the skin surface — to remove the raised portion of the lesion without achieving full-thickness excision through the dermis or into subcutaneous tissue. Because no full-thickness skin defect is created, suture closure is typically not required, and hemostasis is achieved with electrocautery, chemical agents (e.g., aluminum chloride), or pressure. The critical distinction between this code and excision codes (11400-11646) is technique and depth — shave removal stays within the epidermis and superficial dermis, while excision codes describe full-thickness removal with a resulting defect requiring repair.
Benign epidermal and dermal lesions — including seborrheic keratoses, benign nevi, skin tags, verrucae, and dermatofibromas — are the most common indications for CPT 11300. These lesions are typically raised, exophytic, or pedunculated, making them ideal candidates for the shave technique; the raised architecture allows the blade to undercut the lesion at or near the base without violating the deep dermis. When the provider removes a lesion with the clinical impression of benign morphology but submits tissue for histopathology, 11300 may still be reported — the pathology interpretation is separately billable under the surgical pathology codes (88302-88309). If the primary intent is to obtain a diagnostic tissue sample rather than to remove the lesion, 11100 should be considered instead.
This procedure may be performed in the following clinical contexts:
- Seborrheic Keratosis — Cosmetic or Symptomatic Removal — Shave removal of a raised, pigmented seborrheic keratosis on the trunk or extremity that is symptomatic (catching on clothing, bleeding, or irritated) or when the provider cannot clinically exclude a more serious diagnosis; cosmetic removal alone may not meet medical necessity criteria for payer reimbursement
- Benign Melanocytic Nevus — Low Suspicion — Shave removal of a small, clinically benign-appearing nevus on the trunk or extremity; note that shave technique is generally discouraged for pigmented lesions with any concern for melanoma because transection compromises Breslow depth measurement — punch or excisional biopsy is preferred in that scenario
- Verruca Vulgaris (Common Wart) — Shave removal of a hyperkeratotic viral wart when destruction is not preferred or has failed; tissue may be submitted for pathology to confirm HPV etiology
- Irritated or Inflamed Skin Tag / Acrochordon — Shave or snip removal of an irritated or symptomatic skin tag; documentation of symptoms (irritation, bleeding, catching) supports medical necessity and is required for payer reimbursement
- Dermatofibroma or Benign Fibrous Lesion — Shave removal of a small, firm dermal nodule on the arm or leg when the clinical impression is benign and full excision is not clinically necessary
🔬 Anatomical & Procedural Considerations
| Technique Variant | Mechanism / Steps | Key Notes |
|---|---|---|
| Tangential Shave — Blade | Scalpel blade, DermaBlade, or razor blade held at a low angle; lesion undercut at the base with a single smooth stroke | Most common technique; blade angle determines depth — flatter angle = more superficial; documentation should note the instrument used and depth of removal |
| Snip Excision | Scissors used to snip a pedunculated or stalked lesion at its base | Appropriate for skin tags and pedunculated lesions; considered a variant of shave removal; note must document the technique |
| Electrosurgical Shave | Loop electrode or electrocautery used to shave and simultaneously cauterize the lesion base | Appropriate for vascular or bleeding lesions; note must distinguish shave with cautery from ablation/destruction — if lesion is destroyed without tissue removal, a destruction code (17000-17286) applies instead |
| Curettage Following Shave | Curette used after initial shave to smooth the base or remove residual tissue | Curettage of the base after shave is considered part of the shave removal and is not separately reportable; document as part of the single procedure |
Clinical Pearl
The lesion diameter measured at the time of the procedure — not the pathology specimen size — determines which 11300-series code is reported. Measure the lesion clinically before removal and document the measurement in the procedure note; pathology specimen shrinkage commonly results in a specimen size smaller than the clinical lesion size. Additionally, if the provider removes multiple lesions in the same session, each lesion is coded separately using the appropriate 11300-series code based on its own size and site — there is no add-on code for shave removal (unlike the biopsy family, which uses 11101). Each additional lesion is a separate reportable line item with its own site and size documentation.
✅ Procedure Includes…
- Pre-procedure clinical assessment of the lesion including site, size, and morphology documentation
- Local anesthesia — topical or injectable (explicitly bundled into 11300 per the CPT descriptor; never separately reportable)
- Tangential shave, snip, or electrosurgical removal of the epidermal or dermal lesion
- Hemostasis by electrocautery, chemical agent, or pressure
- Application of wound dressing
- Specimen preparation and submission for pathology when performed (pathology interpretation is separately reportable under 88302-88309 by the interpreting provider)
❌ Excludes / Do Not Report Together
| Code | Description | Relationship to 11300 |
|---|---|---|
| 11301 | Shave removal, trunk/arms/legs; lesion diameter 0.6-1.0 cm | Same anatomic site family as 11300 but larger lesion; report based on measured lesion diameter — never report 11300 and 11301 for the same lesion |
| 11302 | Shave removal, trunk/arms/legs; lesion diameter 1.1-2.0 cm | Larger diameter tier; same site family; select based on clinical measurement |
| 11303 | Shave removal, trunk/arms/legs; lesion diameter over 2.0 cm | Largest diameter tier in trunk/arms/legs shave family |
| 11305 | Shave removal, scalp/neck/hands/feet/genitalia; 0.5 cm or less | Anatomically distinct code for scalp, neck, hands, feet, and genitalia — same size tier as 11300 but different body site; do not use 11300 for lesions at these sites |
| 11400 | Excision, benign lesion; trunk/arms/legs; excised diameter 0.5 cm or less | Full-thickness excision requiring closure; mutually exclusive with 11300 by technique and depth — shave removes within epidermis/dermis, excision is full-thickness; never report both for the same lesion |
| 11100 | Biopsy, skin; single lesion | When the primary intent is diagnostic tissue sampling, 11100 is correct; when the primary intent is removal of a benign lesion, 11300 is correct; intent documented in the procedure note drives code selection |
| 17000-17004 | Destruction of premalignant lesions | When a lesion is destroyed without removal of an intact tissue specimen, destruction codes apply — not 11300; shave removal requires an identifiable specimen |
| E/M codes (992xx / 920xx) | Office visit, any level | Separately reportable only when modifier -25 is appended to the E/M code, documenting a significant, separately identifiable E/M service beyond the routine pre-procedure lesion assessment |
Bundling Alert — Global Period is 000, Not 010 or 090
CPT 11300 carries a 000 global period (same-day only). The pre-procedure lesion evaluation and same-day post-procedure wound check are bundled — a next-day or later follow-up visit is separately billable without a modifier. Do not apply a 10-day or 90-day mental block to shave removal codes. When a patient is seen on the same day for an unrelated condition, modifier -24 applies to the E/M with explicit documentation stating the visit is unrelated to the shave removal. The most common audit finding in this area is billing a same-day E/M without modifier -25 or with insufficient documentation to justify the separate E/M.
🌳 Code Tree — Surgery: Skin, Subcutaneous and Accessory Structures
CPT 11300-11313 Shave Removal of Epidermal or Dermal Lesion
│
├── 11300-11303 Trunk, Arms, or Legs
│ ├── ▶▶ 11300 ◀◀ Lesion diameter 0.5 cm or less ← YOU ARE HERE (Global: 000)
│ ├── 11301 Lesion diameter 0.6-1.0 cm (Global: 000)
│ ├── 11302 Lesion diameter 1.1-2.0 cm (Global: 000)
│ └── 11303 Lesion diameter over 2.0 cm (Global: 000)
│
├── 11305-11308 Scalp, Neck, Hands, Feet, or Genitalia
│ ├── 11305 Lesion diameter 0.5 cm or less (Global: 000)
│ ├── 11306 Lesion diameter 0.6-1.0 cm (Global: 000)
│ ├── 11307 Lesion diameter 1.1-2.0 cm (Global: 000)
│ └── 11308 Lesion diameter over 2.0 cm (Global: 000)
│
└── 11310-11313 Face, Ears, Eyelids, Nose, Lips, or Mucous Membrane
├── 11310 Lesion diameter 0.5 cm or less (Global: 000)
├── 11311 Lesion diameter 0.6-1.0 cm (Global: 000)
├── 11312 Lesion diameter 1.1-2.0 cm (Global: 000)
└── 11313 Lesion diameter over 2.0 cm (Global: 000)
💰 RVU & Reimbursement Profile
| Component | Value |
|---|---|
| Work RVU (wRVU) | 0.57 (verify against current CMS MPFS for applicable year) |
| Global Period | 000 (Same Day) |
| Bilateral Indicator | 3 — Bilateral surgery concept does not apply; no bilateral reduction applied |
| Assistant Surgeon | ❌ Not payable |
| Co-Surgeon | ❌ Not applicable |
| Team Surgery | ❌ Not applicable |
| PC/TC Split | ❌ No — Procedure code only (Indicator 0) |
| Modifier -51 Exempt | No — subject to multiple procedure reduction rules |
| Anesthesia | Local anesthesia explicitly included in CPT descriptor — never separately billable; no separate anesthesia code expected |
Multiple Lesion Billing Rules
Unlike the biopsy family (11100/11101), the shave removal family has no add-on code. Each lesion removed by shave technique is reported as its own separate primary code line, selected based on the lesion’s individual site and diameter. Bilateral indicator 3 means no bilateral reduction applies. When multiple shave removals are performed in the same session, each code after the first is subject to the multiple procedure reduction rules under modifier -51 (apply -51 to the lower-valued code lines). Document each lesion individually with its site, measured diameter, and technique.
🏷️ Modifier Reference
| Modifier | Name | When to Apply |
|---|---|---|
| -25 | Significant, Separately Identifiable E/M | Applied to the E/M code — not 11300 — when a separately identifiable office visit is performed on the same date; documentation must support a distinct, medically necessary evaluation beyond the pre-procedure lesion assessment |
| -24 | Unrelated E/M During Postoperative Period | Applied to the E/M code when the patient is seen same day for a condition entirely unrelated to the shave removal; document the unrelated nature explicitly |
| -51 | Multiple Procedures | When 11300 is performed alongside other surgical procedures in the same session; apply to the lower-valued procedure code; each additional shave removal lesion is a separate primary code subject to -51 reduction |
| -52 | Reduced Services | Procedure partially completed (e.g., only partial lesion removed due to patient intolerance); document clinical reason |
| -53 | Discontinued Procedure | Procedure stopped after initiation due to patient safety concern; document thoroughly |
| -59 | Distinct Procedural Service | When 11300 is reported alongside another procedure that a payer inappropriately bundles; documents distinct lesion site or independent service |
| -XS | Separate Structure | Preferred X-modifier over -59 when billing 11300 for a lesion at an anatomically distinct site from another same-day procedure |
| -XU | Unusual Non-Overlapping Service | When a payer inappropriately bundles 11300 with a clearly distinct, non-overlapping service |
🩺 Common ICD-10-CM Pairings
Benign Epidermal and Dermal Lesions
| ICD-10 Code | Description | HCC? | Clinical Notes |
|---|---|---|---|
| L82.1 | Other seborrheic keratosis | ❌ No | Most common diagnosis paired with 11300; document whether symptomatic (irritated, bleeding, catching) or cosmetic — medical necessity documentation required for payer reimbursement of cosmetic removal |
| L82.0 | Inflamed seborrheic keratosis | ❌ No | Inflamed or irritated seborrheic keratosis; stronger medical necessity support than L82.1 — documents a symptomatic lesion |
| D22.9 | Melanocytic nevi, unspecified | ❌ No | Clinically benign-appearing nevus; assign site-specific D22.- code when anatomic site is documented (e.g., D22.61 — right upper limb); note: shave technique is discouraged for pigmented lesions with any atypical features — document clinical impression as benign |
| D23.9 | Other benign neoplasm of skin, unspecified | ❌ No | Clinically benign lesion not classifiable as a nevus or keratosis; use site-specific D23.- when site is documented |
| B07.9 | Viral wart, unspecified | ❌ No | Common wart (verruca vulgaris) on trunk or extremity; assign site-specific B07.- when available |
| L91.0 | Hypertrophic scar | ❌ No | Raised scar tissue amenable to shave reduction; distinguish from keloid (L91.0 also covers keloid — specify in documentation) |
Lesions with Uncertain or Symptomatic Clinical Presentation
| ICD-10 Code | Description | HCC? | Clinical Notes |
|---|---|---|---|
| D48.5 | Neoplasm of uncertain behavior of skin | ❌ No | When clinical impression is uncertain and the lesion is removed for concurrent histopathology; pathology report drives final diagnosis coding at subsequent visit |
| L72.0 | Epidermal cyst | ❌ No | Superficial epidermal inclusion cyst amenable to shave/unroofing; note that deep or intradermal cysts requiring full excision should be coded to the excision family instead |
| L91.8 | Other hypertrophic disorders of the skin | ❌ No | Dermatofibroma, fibrous papule, or other hypertrophic dermal lesion not classifiable elsewhere |
| L72.3 | Sebaceous cyst | ❌ No | Superficial sebaceous cyst removed by shave technique; if the full cyst wall is excised, consider excision code family |
Screening and Preventive Encounters
| ICD-10 Code | Description | HCC? | Clinical Notes |
|---|---|---|---|
| Z12.83 | Encounter for screening for malignant neoplasm of skin | ❌ No | Use as principal diagnosis only when the encounter is a screening visit in an asymptomatic patient; when a specific symptomatic lesion drives the visit, the lesion diagnosis is the principal code |
| Z85.828 | Personal history of other malignant neoplasm of skin | ❌ No | Prior history of skin malignancy used as additional diagnosis to support medical necessity for surveillance lesion removal |
Coding Specificity Reminder
The most common specificity gap for 11300 ICD-10-CM pairings is failing to assign site-specific laterality in the D22.- and D23.- benign neoplasm code families. For example, D22.61 (melanocytic nevi of right upper limb) is more specific than D22.9 (unspecified) — the operative note that documents “right forearm” provides sufficient information to assign the lateralized code without a provider query. Additionally, confirm that the clinical impression documented in the note supports the ICD-10-CM code assigned — a provider note that says “seborrheic keratosis” directly supports L82.1 without ambiguity. ICD-10-CM specificity requirements are not optional; use the documented anatomic site and clinical description to assign the most specific code available.
🏥 MS-DRG Considerations (Inpatient)
Inpatient Coding Reminder
CPT 11300 is performed exclusively in the outpatient or office setting. There are no routine MS-DRG assignments for this procedure — inpatient admission for shave removal of a skin lesion would not be supported by any payer, MAC, or utilization review body. If a patient undergoing an inpatient admission for an unrelated diagnosis also has a lesion shave-removed during the stay, an ICD-10-PCS Excision code under Body System H (Skin and Breast) with a therapeutic qualifier (Z — No Qualifier) is assigned for coding completeness, but it will have no independent impact on DRG grouping. See the ICD-10-PCS section below.
🔧 ICD-10-PCS Equivalents (Inpatient Facility Coding)
Note
Inpatient PCS coding for shave removal uses the Excision root operation (character B) under Body System H (Skin and Breast) with the External approach (X) and qualifier Z (No Qualifier) — indicating therapeutic removal, not diagnostic biopsy. This distinguishes PCS shave removal from a diagnostic biopsy, which uses qualifier X (Diagnostic). Note that PCS does not differentiate shave technique from full-thickness excision at the code level — both are Excision (B); the technique distinction exists in the CPT system, not PCS. Assign PCS codes based on the anatomic body part site per the ICD-10-PCS Body Part Key.
| PCS Code | Full Description | Site |
|---|---|---|
0HB5XZZ | Excision of Chest Skin, External Approach | Trunk — chest lesion shave removal |
0HB6XZZ | Excision of Back Skin, External Approach | Trunk — back lesion shave removal |
0HB7XZZ | Excision of Abdomen Skin, External Approach | Trunk — abdomen lesion shave removal |
0HBCXZZ | Excision of Right Upper Arm Skin, External Approach | Right upper arm lesion |
0HBDXZZ | Excision of Left Upper Arm Skin, External Approach | Left upper arm lesion |
0HBAXZZ | Excision of Right Lower Leg Skin, External Approach | Right lower leg lesion |
0HBBXZZ | Excision of Left Lower Leg Skin, External Approach | Left lower leg lesion |
PCS Character Analysis — 0HB5XZZ
| Position | Character | Value | Definition |
|---|---|---|---|
| 1 | Section | 0 | Medical and Surgical |
| 2 | Body System | H | Skin and Breast |
| 3 | Root Operation | B | Excision (cutting out or off, without replacement, a portion of a body part) |
| 4 | Body Part | 5 | Chest Skin |
| 5 | Approach | X | External |
| 6 | Device | Z | No Device |
| 7 | Qualifier | Z | No Qualifier |
PCS Qualifier: No Qualifier (Z) vs. Diagnostic (X)
- Use qualifier Z (No Qualifier) when the skin excision/shave is performed for therapeutic removal of the lesion — this is the inpatient PCS equivalent of CPT 11300 (shave removal, therapeutic intent)
- Use qualifier X (Diagnostic) when tissue is excised specifically for histopathologic examination — this is the inpatient PCS equivalent of CPT 11100 (biopsy, diagnostic intent)
- When a shave removal is performed and tissue is simultaneously submitted for pathology, the primary intent documented in the operative note drives qualifier selection; if the provider’s stated purpose is lesion removal with incidental pathology submission, qualifier Z applies
📝 Coding Examples
Example 1 — Office: Single Seborrheic Keratosis, Trunk, 0.4 cm
Clinical Scenario: A 58-year-old male presents to dermatology reporting an irritated, raised brown lesion on his upper back that catches on his shirt collar and bleeds occasionally. Examination reveals a 0.4 cm raised, verrucous, hyperpigmented lesion consistent with seborrheic keratosis. The provider documents: “Shave removal performed with DermaBlade under local anesthesia; lesion 0.4 cm diameter; specimen submitted for pathology; hemostasis achieved with aluminum chloride; dressing applied.” No separately documented E/M beyond lesion assessment.
| Field | Code | Rationale |
|---|---|---|
| CPT | 11300 | Shave removal, trunk; lesion diameter 0.4 cm — within the 0.5 cm or less tier; local anesthesia included in descriptor |
| PDx | L82.0 | Inflamed seborrheic keratosis — documented irritation and bleeding supports medical necessity; L82.0 (inflamed) is more specific than L82.1 (other seborrheic keratosis) given the documented irritation |
Note
The pathology interpretation is separately billable by the pathologist under 88305 (surgical pathology, Level IV — skin lesion) — this is not bundled into CPT 11300. The dermatologist performing the removal and the pathologist interpreting the specimen each bill their respective services independently.
Example 2 — Office: Multiple Lesions, Same Visit, With Separate E/M
Clinical Scenario: A 47-year-old female presents for a follow-up skin check. The provider performs a complete skin examination and removes three lesions: a 0.4 cm lesion on the right forearm, a 0.8 cm lesion on the left upper arm, and a 1.3 cm lesion on the back. All are clinically consistent with benign nevi. A separately documented E/M is performed addressing a new complaint of a changing lesion on the scalp, with distinct history, exam findings, and medical decision-making documented separately from the lesion removal encounter.
| Field | Code | Rationale |
|---|---|---|
| CPT 1 | 99213--25 | Separately identifiable E/M for new scalp lesion concern — modifier -25 on the E/M; documentation supports a distinct evaluation with history, exam, and MDM beyond the shave removal assessment |
| CPT 2 | 11300 | Shave removal, right forearm (arm); 0.4 cm — 0.5 cm or less tier |
| CPT 3 | 11301--51 | Shave removal, left upper arm (arm); 0.8 cm — 0.6-1.0 cm tier; -51 applied as second procedure |
| CPT 4 | 11302--51 | Shave removal, back (trunk); 1.3 cm — 1.1-2.0 cm tier; -51 applied as third procedure |
| PDx | D22.61 | Melanocytic nevi, right upper limb — primary lesion (right forearm) |
| SDx | D22.62 | Melanocytic nevi, left upper limb — left upper arm lesion |
| SDx | D22.5 | Melanocytic nevi, trunk — back lesion |
Warning
Modifier -25 belongs on the E/M code, never on 11300. Each shave removal is its own separately coded primary code — there is no add-on code for additional shave removal lesions (unlike the biopsy family). Each code is selected based on its own individual site and measured diameter. The -51 modifier is applied to the lower-valued codes in a multiple-procedure session; confirm payer-specific requirements as some MACs and commercial payers have specific preferences for ordering and -51 placement.
Example 3 — Office: Verruca, Shave Removal After Destruction Failure
Clinical Scenario: A 34-year-old male presents for management of a persistent verruca vulgaris on his right forearm, measuring 0.5 cm. He has failed two prior cryotherapy sessions. The provider elects to perform shave removal to achieve more definitive treatment and to submit tissue for pathologic confirmation. The procedure note states: “Shave removal performed under local anesthesia using scalpel; lesion diameter 0.5 cm, right forearm; specimen labeled and submitted for pathology; base cauterized for hemostasis; dressing applied.”
| Field | Code | Rationale |
|---|---|---|
| CPT | 11300 | Shave removal, trunk/arms/legs (arm); lesion diameter 0.5 cm — within the 0.5 cm or less tier |
| PDx | B07.9 | Viral wart, unspecified — verruca vulgaris; site-specific code B07.8 (other viral warts) may be assigned; query payer preference |
| SDx | Z87.2 | Personal history of conditions related to prior treatment failure — optional; document clinical context of failed prior therapy when it supports medical necessity rationale |
Note
Global period reminder: CPT 11300 carries a 000 global period. The prior cryotherapy sessions (if billed) each had their own 000 global periods and do not create a global window that extends to this visit. Each shave removal session is independently billable on its own date of service. If this patient requires a follow-up visit to review pathology results, that visit is a separately billable E/M — it is outside the 000 same-day global period of 11300.
⚠️ Common Coding Pitfalls
-
Selecting the Wrong Size Tier Based on Pathology Specimen Size: The lesion diameter used to select between 11300, 11301, 11302, and 11303 is the clinically measured diameter at the time of the procedure — not the pathology specimen size. Pathology specimens routinely shrink after fixation, leading to a smaller reported size than the clinical measurement. If the provider measures 0.9 cm in the office but the pathology report says 0.6 cm, the correct code is based on the 0.9 cm clinical measurement. Document the measured diameter in the procedure note every time.
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Using 11300 for Lesions on the Face, Scalp, or Hands: CPT 11300 is specific to the trunk, arms, or legs. For shave removal on the scalp, neck, hands, feet, or genitalia, the correct codes are 11305-11308. For the face, ears, eyelids, nose, lips, or mucous membranes, the correct codes are 11310-11313. Assigning 11300 for a facial lesion is a site-specificity error that payers can identify on audit through anatomic site documentation in the procedure note.
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Reporting 11300 and an Excision Code for the Same Lesion: Shave removal (11300) and excision codes (114xx-116xx) are mutually exclusive for the same lesion — they describe different techniques and depths. Assigning both for the same lesion is an NCCI bundling violation. Select the code that matches the documented technique: shave (tangential, within dermis) → 11300 series; excision (full-thickness, with margins) → 114xx or 116xx series.
-
Billing Local Anesthesia Separately: The CPT descriptor for 11300 explicitly includes local anesthesia — it is never separately reportable. Appending a local anesthetic injection code on the same claim line for the same lesion is an NCCI bundling violation and a common audit finding in dermatology billing reviews.
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Using 11100 When Intent is Removal, Not Diagnosis: CPT 11100 (biopsy) and CPT 11300 (shave removal) are distinguished by intent, not technique. When the provider removes a lesion by shave technique primarily to eliminate it (therapeutic intent), 11300 is correct. When the provider performs a shave solely to obtain a diagnostic tissue specimen with no intent to remove the lesion as the primary goal, 11100 is correct. When both removal and pathology submission occur, the operative note’s primary intent statement drives the code. Defaulting to 11100 because “tissue was sent to pathology” when the note clearly describes lesion removal is a common coding error.
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Failing to Apply Modifier -51 for Multiple Shave Removals: When two or more shave removals are performed in the same session, each additional lesion beyond the highest-valued procedure is subject to the multiple procedure payment reduction under modifier -51. Failing to apply -51 to the lower-valued codes can result in claim rejection or payer overpayment findings on audit. Each lesion must be separately coded with its own site and size; there is no add-on code available for this family — unlike 11101 in the biopsy series.
📎 Sources
1. AMA CPT 2025 Professional Edition — Codes 11300-11313, Shave Removal of Epidermal or Dermal Lesion · 2. CMS 2025 Medicare Physician Fee Schedule Final Rule (CMS-1807-F) — RVU and Global Period Assignments · 3. CMS RVU25A Relative Value Files — Work RVU: 0.57, Global Period: 000, Bilateral Indicator: 3 · 4. NCCI Policy Manual Chapter 1 & Chapter 4 (Integumentary System), CMS 2024-2025 — Shave Removal Bundling and Mutually Exclusive Code Edits · 5. ICD-10-CM Official Guidelines for Coding and Reporting FY2025 — Section I.C.2 (Neoplasms), Section I.C.12 (Skin and Subcutaneous Tissue) · 6. ICD-10-PCS Official Guidelines for Coding and Reporting FY2025 — Root Operation Excision (B), Qualifier Z (No Qualifier) vs. X (Diagnostic), Body System H (Skin and Breast) · 7. AAPC Dermatology Coding Guidelines — Shave Removal vs. Excision Intent Distinction; Multiple Lesion Billing Rules · 8. CMS Medicare Coverage Database — Billing and Coding: Skin Lesion Removal and Shave Procedures · 9. Palmetto GBA Jurisdiction M — Skin Lesion Removal Policy and Medical Necessity Documentation Requirements · 10. ICD-10-CM FY2025 Tabular List — Chapter 2 (Neoplasms D22, D23), Chapter 12 (Skin L82, L91, L72), Chapter 1 (Infectious Diseases B07)