Some procedures may not be covered by all health insurance companies. If you are concerned about your out of pocket responsibility, please contact your insurance company. They will be able to tell you of any cost you will incur. The following treatments, procedure codes and diagnosis codes are provided for your convenience and will be helpful when speaking with your insurance representative.
Brown Spots/ Age Spots/ Sun Spots
up to 14 spots: Procedure code – 17110 Diagnosis Code – 702.19
over 14 spots: Procedure code – 17111 Diagnosis Code – 702.19
Warts
up to 14 warts: Procedure code – 17110 Diagnosis Code – 078.10
over 14 warts: Procedure code – 17111 Diagnosis Code – 078.10
Skin Tags
up to 14 tags: Procedure code – 11200 Diagnosis Code – 701.9
over 14 tags: Procedure code – 11201 Diagnosis Code – 701.9
Benign Moles
Face: Procedure code – 11310 if less than 5 millimeters Diagnosis Code – 216.3
Trunk: Procedure code – 11310 if less than 5 millimeters Diagnosis Code – 216.5
Scalp/ Hands/ Feet: Procedure code – 11300 if less than 5 millimeters Diagnosis Code – 216.5
Lipomas
Head (face/scalp)
Procedure code: 21011 (less than 2 cm/20 mm)
Procedure code: 21012 (greater than 2 cm/20 mm)
Neck
Procedure code: 21555 (less than 3 cm/30 mm)
Procedure code: 21552 (greater than 3 cm/30 mm)
Back/Flank
Procedure code: 21930 (less than 3 cm/30 mm)
Procedure code: 21931 (greater than 3 cm/30 mm)
Abdomen
Procedure code: 22902 (less than 3 cm/30 mm)
Procedure code: 22903 (greater then 3 cm/30 mm)
Shoulder
Procedure code: 23075 (less than 3 cm/30 mm)
Procedure code: 23071 (greater then 3 cm/30 mm)
Upper Arm/Elbow
Procedure code: 24075 (less than 3 cm/30 mm)
Procedure code: 24071 (greater then 3 cm/30 mm)
Forearm/Wrist
Procedure code: 25075 (less than 3 cm/30 mm)
Procedure code: 25073 (greater than 3 cm/30 mm)
Hand/Fingers
Procedure code: 26116 (less than 1.5 cm/15mm)
Procedure code: 26113 (greater than 1.5 cm/15mm)
Pelvis/Hip Joint
Procedure code: 27047 (less than 3 cm/30 mm)
Procedure code: 27043 (greater than 3 cm/30 mm)
Femur (thigh region) and Knee joint
Procedure code: 27327 (less than 3 cm/30mm)
Procedure code: 27337 (greater than 3 cm/30 mm)
Leg (tibia and fibula) and Ankle joint
Procedure code: 27618 (less than 3cm/30mm)
Procedure code: 27632 (greater than 3cm/30mm)
Foot and toes
Procedure code: 28045 (less than 1.5cm/15mm)
Procedure code: 28041 (greater than 1.5cm/15mm)
Cyst Removal
Trunk, arms, legs – Procedure codes: 11400 (0-0.5cm), 11401 (0.6-1cm), 11402 (1.1-2.0cm), 11403 (2.1-3cm), 11404 (3.1-4cm), 11406 (greater than 4 cm) Diagnosis code –L72.9
Scalp, neck, hands, feet and genitalia – Procedure codes: 11420 (0-0.5cm), 11421 (0.6-1cm), 11422 (1.1-2.0cm), 11423 (2.1-3cm), 11424 (3.1-4cm), 11426 (greater 4cm) Diagnosis code –L72.9
Face, eyelid, lips, mucous membranes – Procedure codes: 11440 (0-0.5cm), 11441 (0.6-1cm), 11442 (1.1-2cm), 11443 (2.1-3cm), 11444 (3.1-4cm), 11446 (greater than 4cm) Diagnosis code –L72.9