11104 Punch biopsy skin single lesion
Also known as: punch biopsy, skin punch, punch biopsy skin, punch skin biopsy
Punch biopsy of skin from a single lesion using a circular cutting tool. This procedure removes a cylindrical full-thickness sample of skin for histopathological evaluation.
In Plain Language
circular skin sample; deep skin biopsy
Clinical Context
Used for evaluation of pigmented lesions, inflammatory conditions, or when deeper tissue assessment is needed. Provides full-thickness specimen including subcutaneous tissue.
RVU Breakdown
| Work RVU | 0.81 |
| Total RVU | 0.81 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 0-day global period, meaning pre- and post-operative E&M visits are billable separately on the same day. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 0.81, this code ranks in the 3rd percentile among Surgery codes — 9.9x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 11104?
CPT 11104 (Punch biopsy skin single lesion) is a Surgery code. Punch biopsy of skin from a single lesion using a circular cutting tool. This procedure removes a cylindrical full-thickness sample of skin for histopathological evaluation.
What is the wRVU value for CPT 11104?
The work RVU for CPT 11104 is 0.81. This code is primarily used by Dermatology, Pathology, Surgery.
When is CPT 11104 used?
Used for evaluation of pigmented lesions, inflammatory conditions, or when deeper tissue assessment is needed. Provides full-thickness specimen including subcutaneous tissue.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.