11105 Punch biopsy skin each sep/additional
Also known as: additional punch biopsy, punch biopsy each
Punch biopsy of skin for each separate or additional lesion. This add-on code applies when multiple lesions require punch biopsy sampling in the same clinical encounter.
In Plain Language
additional deep skin sample; extra punch per lesion
Clinical Context
Used when patient requires multiple punch biopsies of different lesions in single session. Each lesion beyond the first is reported with this add-on code.
RVU Breakdown
| Work RVU | 0.44 |
| Total RVU | 0.44 |
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. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 0.44, this code ranks in the 1st percentile among Surgery codes — 18.2x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 11105?
CPT 11105 (Punch biopsy skin each sep/additional) is a Surgery code. Punch biopsy of skin for each separate or additional lesion. This add-on code applies when multiple lesions require punch biopsy sampling in the same clinical encounter.
What is the wRVU value for CPT 11105?
The work RVU for CPT 11105 is 0.44. This code is primarily used by Dermatology, Pathology, Surgery.
When is CPT 11105 used?
Used when patient requires multiple punch biopsies of different lesions in single session. Each lesion beyond the first is reported with this add-on code.
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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.