codes are for the removal of “skin tags or multiple fibrocutaneous tags.” Skin
tags are generally small (1 to 5 millimeters in diameter – 1/25 to 1/5 of an
inch) formations of normal skin with or without some small amount of
subcutaneous tissue. They protrude from the surrounding skin. They have a
tendency to grow to a certain size and to remain at that size. No one knows why
they happen, but there may be a genetic predisposition to developing them. Many
people have none. Some people have a few. An occasional person has many.
It is unusual
for them to appear on the face or hands. They are more common on the torso,
especially in the region of the genitals and axillae (arm pits). They never
turn to cancer. They occasionally become irritated. They may catch on clothes
or be inconvenient to clothing, such as being in or near where elastic bands in
the clothing lie.
pose no health hazard. Irritation of skin tags can be handled with Band-Aids or
a change in clothing style to avoid having elastic bands rub on the skin tag.
Removal of skin tags is considered to be a cosmetic procedure. These two codes
are set up in Facets to deny.
of supranumerary digits, please see the policy on Polydactyly (BI008).
Note: In the
instance, in which the physician miscodes the removal of a pre-cancerous or
cancerous lesion as a skin tag removal, the appeal should include a recoding of
the procedure and perhaps a pathology report to document the nature of the
lesion removed. There are extensive codes in the CPT book for removal of skin
lesions that have some health consequences – there is never a reason a physician
should use these codes for such a procedure.
Codes Used In This BI:
11200 Removal of skin tags
11201 Remove skin tags add-on