CPT 11307Surgery

Shave skin lesion 1.1-2.0 cm

CPT code 11307 covers the removal of a skin lesion (such as a mole, wart, or skin tag) that measures between 1.1 and 2.0 centimeters using a shaving technique. The provider uses a blade to shave off the lesion at or just below the skin surface without deep excision.

Showing rates for

National Average

Base Medicare rate

$131.97

This calculator gives a typical-case estimate using standard Medicare modifier rules. Actual payment depends on payer policies, documentation, code-specific CMS status indicators, and locality. Verify before billing.

RVU breakdown

Work RVU

1.2

PE RVU (NF)

2.76

MP RVU

0.12

Total RVU

4.08

Conversion factor: 32.3465 · Source: CMS MPFS RVU25A · Confidence: High

NCCI bundling edits

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Billing tips

Measure lesion size before local anesthesia administration and document the clinical diameter in the procedure note, as infiltration can distort measurements by 10-30%
Impact: Prevents downcoding from 11307 ($131.97) to 11306 ($105.84), protecting $26.13 per procedure
Bill each lesion removal separately when multiple lesions are removed; 11307 is not an 'each additional' code and should be reported with full value for each qualifying lesion
Impact: Recovers $131.97 per lesion instead of incorrectly bundling multiple removals into single payment
Document medical necessity clearly when removing seborrheic keratoses or other benign-appearing lesions, noting diagnostic uncertainty, irritation, bleeding, or change in appearance
Impact: Reduces medical necessity denials which affect 15-25% of cosmetic-appearing lesion removals, protecting $131.97 per claim
Verify the facility vs. non-facility setting at time of service; office-based procedures reimburse at $131.97 while hospital outpatient settings pay only $59.52 to the physician
Impact: Understanding setting prevents $72.45 reimbursement surprise and informs practice location decisions
Always send specimens for pathological examination and reference the pathology report in documentation; shave removals without histologic examination risk denial or recoupment
Impact: Prevents audit recoupment of $131.97 plus applicable pathology fees; Medicare expects tissue examination for surgical codes
Use modifier 25 appropriately but document the separate E/M service thoroughly, noting distinct history, exam, and MDM elements beyond the decision for lesion removal

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Frequently asked questions

What is the Medicare reimbursement for CPT 11307 in 2025?

The 2025 Medicare national average payment for CPT 11307 is $131.97 in non-facility settings (physician office) and $59.52 in facility settings (hospital outpatient department or ASC). Actual payment varies by geographic locality using the Medicare Administrative Contractor (MAC) locality-specific conversion factors.

How many RVUs is CPT code 11307 worth?

CPT 11307 has a total of 4.08 RVUs for 2025, comprised of 1.2 work RVUs, 2.76 non-facility practice expense RVUs (0.52 facility PE RVUs), and 0.12 malpractice RVUs. These RVU values are multiplied by the 2025 conversion factor of 32.3465 to calculate Medicare payment.

What size lesion qualifies for CPT code 11307?

CPT 11307 is used for shave removal of skin lesions measuring 1.1 to 2.0 centimeters in greatest clinical diameter. The measurement should be taken before local anesthesia is administered, as tissue infiltration can expand the lesion size. Lesions 0.6-1.0 cm use 11306, while lesions 2.1-3.0 cm use 11308.

Can you bill an E/M visit with CPT 11307 on the same day?

Yes, you can bill an evaluation and management (E/M) service with CPT 11307 on the same day if the E/M represents a significant, separately identifiable service beyond the decision for the procedure. You must append modifier 25 to the E/M code and document distinct history, examination, or medical decision-making elements that justify the separate service.

How do you bill for multiple lesion removals using CPT 11307?

Bill CPT 11307 separately for each lesion removed in the 1.1-2.0 cm size range, listing the code on multiple lines with the appropriate quantity or on separate claim lines. Document each lesion's individual size and anatomic location. Append modifier 59 or XS to the second and subsequent procedures if needed to bypass NCCI bundling edits. Some payers may have specific multiple procedure reduction policies.

Does CPT 11307 include pathology examination?

No, CPT 11307 covers only the shave removal procedure itself. Pathology examination is billed separately using pathology CPT codes (typically 88305 for surgical pathology, gross and microscopic examination). The specimen must be submitted to pathology for the surgical code to be medically justified, but the pathology service is separately billable by the pathologist or laboratory.

What is the difference between shave removal 11307 and excision codes?

CPT 11307 is a shave removal performed tangentially at or through the dermis without full-thickness excision and typically without suture closure. Excision codes (11400-11446 for benign lesions, 11600-11646 for malignant lesions) involve full-thickness removal through the subcutaneous tissue with layered closure. Shave removals have lower reimbursement ($131.97 for 11307) compared to excisions (typically $200-400+ depending on size and location) due to reduced complexity.