Cracking the Code

Skin Tag Removal

As per the Cleveland Clinic, “Skin tags are small, noncancerous growths that tend to be the same color as your skin. They often look like a cluster of skin tissue extending out from a tiny stem. They’re sometimes darker and may resemble a raised mole. Most skin tags are between 1 and 5 mm, but some can grow as large as a few centimeters.”

 

Skin tag removal can be performed by scissoring or any sharp method (using surgical scissors or a surgical blade to cut), ligature strangulation (tying suture material around the skin tag to stop the blood flow), electrosurgical destruction, or a combination of treatment modalities, including the chemical destruction or electrocauterization of the wound, with or without local anesthesia. Our CPT code selection will be determined based on how many skin tags are removed.

Q: A patient presents to the primary care physician with multiple skin tags. After a complete examination of the skin, the provider discusses with the patient the removal of 18 skin tags located on the patient’s neck and shoulder area. Patient consent is obtained, and the provider removes all 18 skin tags by scissoring technique. What would be the correct CPT coding for this procedure?
A: 11200, 11201 Rationale: Look in the CPT Index for Skin/Tags/Removal. Codes 11200–11201 describe the removal of skin tags. 11200 is used for up to and including 15 tags and 11201 is used as an add-on code for each additional 10 or part thereof.
Reference: 2023 CPT codebook, Cleveland Clinic
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