In an effort to be transparent in regards to what your office visit might cost, we have listed common CPT codes and their approximate allowed insurance amounts. Please use these as a guide for possible costs of certain procedures we perform.

When a skin biopsy is performed by a dermatologist, skin samples are removed from the surface of the skin to be further examined.

  • 11102: Tangential biopsy of skin; single lesion – $136.32
  • 11103: Tangential biopsy of skin; each separate or additional lesion – $66.75
  • 11104: Punch biopsy of kin; single lesion – $168.38
  • 11105: Punch biopsy of skin; each separate/additional lesion – $78.23
  • 11106: Incisional biopsy of skin; single lesion – $208.78
  • 40490: Biopsy of lip – $80.99
  • 69100: Biopsy of external ear – $126.57

Lesions can be benign, premalignant, or malignant, and may be removed by any method, including electrosurgery, cryosurgery, laser, or chemical treatment. If multiple lesions are removed, multiple dermatology CPT codes may be used.

  • 17000: Destruction of premalignant lesions (eg, actinic keratoses); first lesion – $87.53
  • 17003: Destruction of premalignant lesions (eg, actinic keratoses); 2 – 14 lesions -$9.13 each
  • 17110: Destruction of benign lesions other than skin tags or cutaneous vascular proliferative lesions; up to 14 lesions – $153.09
  • 10060: Incision & drainage of cyst or abscess – $127.70

 

Excising a lesion involves the surgical removal of benign lesions and the surrounding tissue

  • 11400: Excision, Trunk, arms, legs; diameter <0.5 cm – $133.20
  • 11401: Excision, Trunk, arms, legs; diameter 0.6 to 1.0 cm – $161.61
  • 11402: Excision, Trunk, arms, legs; diameter 1.1 to 2.0 cm – $171.58
  • 11403: Excision, Trunk, arms, legs; diameter 2.1 to 3.0 cm – $197.70
  • 11404: Excision, Trunk, arms, legs; diameter 3.1 to 4.0 cm – $223.49
  • 11406: Excision; Trunk, arms, legs; Diameter > 4.0 cm – $317.38
  • 11420: Excision; Scalp, neck, hands, feet; Diameter <0.5 cm – $ 125.96
  • 11421: Excision; Scalp, neck, hands, feet; Diameter 0.6 to 1.0 cm – $ 158.36
  • 11422: Excision; Scalp, neck, hands, feet; Diameter 1.1 to 2.0 cm – $ 178.19
  • 11423: Excision; Scalp, neck, hands, feet; Diameter 2.1 to 3.0 cm – $ 204.31 
  • 11424: Excision; Scalp, neck, hands, feet; Diameter 3.1 to 4.0 cm – $ 234.40
  • 11426: Excision; Scalp, neck, hands, feet; Diameter > 4.0 cm – $ 328.95
  • 11440: Excision; Face, eyelids, lips, mucous membranes; Diameter <0.5 cm – $ 143.48
  • 11441: Excision; Face, eyelids, lips, mucous membranes; Diameter  0.6 to 1.0 cm – $ 173.90
  • 11442: Excision; Face, eyelids, lips, mucous membranes; Diameter 1.1 to 2.0 cm – $ 192.74
  • 11443: Excision; Face, eyelids, lips, mucous membranes; Diameter 2.1 to 3.0 cm – $ 227.45
  • 11444: Excision; Face, eyelids, lips, mucous membranes; Diameter 3.1 to 4.0 cm – $ 282.33
  • 11446: Excision; Face, eyelids, lips, mucous membranes; Diameter > 4.0 cm – $397.28
  • 11600: Excision, Trunk, arms, legs; diameter <0.5 cm – $204.52
  • 11601: Excision, Trunk, arms, legs; diameter 0.6 to 1.0 cm – $235.67
  • 11602: Excision, Trunk, arms, legs; diameter 1.1 to 2.0 cm – $251.24
  • 11603: Excision, Trunk, arms, legs; diameter 2.1 to 3.0 cm – $285.85
  • 11604: Excision, Trunk, arms, legs; diameter 3.1 to 4.0 cm – $318.72
  • 11606: Excision; Trunk, arms, legs; Diameter > 4.0 cm – $459.57
  • 11620: Excision; Scalp, neck, hands, feet; Diameter <0.5 cm – $205.21
  • 11621: Excision; Scalp, neck, hands, feet; Diameter 0.6 to 1.0 cm – $236.36
  • 11622: Excision; Scalp, neck, hands, feet; Diameter 1.1 to 2.0 cm – $259.55
  • 11623: Excision; Scalp, neck, hands, feet; Diameter 2.1 to 3.0 cm – $304.19
  • 11624: Excision; Scalp, neck, hands, feet; Diameter 3.1 to 4.0 cm – $346.41
  • 11626: Excision; Scalp, neck, hands, feet; Diameter > 4.0 cm – $418.74
  • 11640: Excision; Face, eyelids, lips, mucous membranes; Diameter <0.5 cm – $210.06
  • 11641: Excision; Face, eyelids, lips, mucous membranes; Diameter  0.6 to 1.0 cm – $243.63
  • 11642: Excision; Face, eyelids, lips, mucous membranes; Diameter 1.1 to 2.0 cm – $275.47
  • 11643: Excision; Face, eyelids, lips, mucous membranes; Diameter 2.1 to 3.0 cm – $323.57
  • 11644: Excision; Face, eyelids, lips, mucous membranes; Diameter 3.1 to 4.0 cm – $399.01
  • 11646: Excision; Face, eyelids, lips, mucous membranes; Diameter > 4.0 cm – $519.09

Mohs micrographic surgery involves the removal of skin cancer; this surgery is typically conducted in several stages, including the removal of tumor tissue and pathologic examination.

  • 17311: Mohs micrographic technique on head, neck, hands, feet; first stage – $687.63
  • 17312: Mohs micrographic technique on head, neck, hands, feet; each additional stage – $419.08
  • 17313: Mohs micrographic technique on trunk, arms, and legs; first stage – $832.92
  • 17314: Mohs micrographic technique on trunk, arms, and legs; each additional stage – $522.04
  • 12031: Intermediate Repair; Trunk, arms, legs < 2.5 cm – $273.39
  • 12032: Intermediate Repair; Trunk, arms, legs; diameter  2.6-7.5 cm – $312.49
  • 12041: Intermediate Repair;Scalp, neck, hands, feet; < 2.5cm – $274.43 
  • 12042: Intermediate Repair;Scalp, neck, hands, feet 2.6-7.5 cm – $320.80 
  • 12051: Intermediate Repair; Face, eyelids, lips, mucous membranes; <2.5 cm – $294.15
  • 12052: Intermediate Repair; Face, eyelids, lips, mucous membranes; 2.6-5.0 cm – $326.34 

 

  • 13100: Complex Repair; Trunk 1.1-2.5 cm – $352.98 
  • 13101: Complex Repair; Trunk 2.6-7.5 cm – $411.81 
  • 13102: Complex Repair; Trunk additional 5cm – $120.78

 

  • 13120: Complex Repair; Scalp, arms, legs; 1.1-2.5 cm – $368.21
  • 13121: Complex Repair; Scalp, arms, legs; 2.6-7.5 cm – $439.84 
  • 13122: Complex Repair; Scalp, arms, legs; additional 5 cm -$130.81

 

  • 13131: Complex Repair; Face, neck, hands, feet, genitalia 1.1-2.5 cm – $401.09 
  • 13132: Complex Repair; Face, neck, hands, feet, genitalia; 2.6-7.5 cm – $486.91 
  • 13133: Complex Repair; Face, neck, hands, feet, genitalia; additional 5 cm – $172.34 

 

  • 13151: Complex Repair; Eyes, nose, ears;  1.1-2.5 cm – $437.08
  • 13152: Complex Repair; Eyes, nose, ears; 2.6-7.5 cm – $512.86 
  • 13153: Complex Repair; Eyes, nose, ears; Additional 5cm – $189.99 

 

  • 14000: Tissue Transfer; Trunk 10 sq cm – $651.29 
  • 14001: Tissue Transfer; Trunk 10.1-30 sq cm – $829.51

 

  • 14020: Tissue Transfer; Scalp, arms, legs; 10 sq cm – $717.04 
  • 14021: Tissue Transfer; Scalp, arms, legs; 10.1-30 sq cm – $883.15

 

  • 14040: Tissue Transfer; Face, neck, hands, feet, genitalia 10 sq cm – $773.10
  • 14041: Tissue Transfer; Face, neck, hands, feet, genitalia; 10.1 -30 sq cm – $937.14 

 

  • 14060: Tissue Transfer; Eyes, nose, ears; 10 sq cm – $781.41
  • 14061: Tissue Transfer; Eyes, nose, ears; 10.1-30 sq cm – $1,009.46

Pathology procedures study skin and tissue at the microscopic cellular level.

88305: Level IV – surgical pathology, gross & microscopic exam – $71.98

Laser therapy utilizes different laser wavelengths to treat a variety of skin conditions and can be used for cosmetic purposes. On the other hand, phototherapy treatments use UV light to treat skin conditions such as eczema and psoriasis. These dermatology CPT codes are as follows:  

  • 96567: Photodynamic therapy by external application of light to destroy premalignant and/or malignant lesions – $294.50
  • J7308: Aminolevulinic acid HCL for topical administration – $398.67