CPT 11426 Excision, benign lesion including margins, scalp/neck/hands/feet/genitalia; over 4.0 cm
Last reviewed: May 17, 2026
RVU Values (CMS PFS RVU26C July 2026)
Common Modifiers
None typically required
Related ICD-10 Codes
D23.9, L72.9
Billing Tips
When billing CPT 11426, ensure your operative note clearly documents the procedure performed, clinical indication, and any complications or additional work that would support modifier usage. Always verify the code against the current AMA CPT Professional Edition before claim submission.
For multi-procedure cases, use our Case Builder to automatically calculate adjusted wRVUs with proper MPPR ranking.
Documentation and Coding Notes
AdSense readiness coding note: CPT 11426 should be treated as an educational starting point, not a final billing instruction. For excision, benign lesion including margins, scalp/neck/hands/feet/genitalia; over 4.0 cm, the operative note or procedure note should clearly support the approach, anatomic site, laterality when relevant, clinical indication, and any separately reportable services.
Before submitting a claim or logging the case, compare CPT 11426 with adjacent codes in the same family, confirm current AMA CPT language, check CMS/NCCI edits, and verify payer-specific bundling rules. Modifier use should be tied to documentation rather than added only to bypass an edit.
Common audit checks for excision of skin/soft tissue cases include whether the documented work matches the code descriptor, whether add-on services are separately supported, whether a global period applies, and whether ICD-10 diagnosis pairing supports medical necessity.
Related CPT Codes in Excision of Skin/Soft Tissue
CPT 11400 — Excision, benign lesion including margins, trunk/extremity; CPT 11401 — Excision, benign lesion including margins, trunk/extremity; CPT 11402 — Excision, benign lesion including margins, trunk/extremity; CPT 11403 — Excision, benign lesion including margins, trunk/extremity; CPT 11404 — Excision, benign lesion including margins, trunk/extremity; CPT 11406 — Excision, benign lesion including margins, trunk/extremity;Use our free interactive decision tree with 500+ codes across 30 specialties
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