Benign Skin Lesion Removal

Removal of acquired nevi, small congenital nevi (<1.5 cm), cutaneous/subcutaneous neurofibromas, dermatofibromas and dermatosis papulosa nigra is covered only when one or more of the policy’s specific medical‑necessity/selection criteria are met; cosmetic removals in the absence of those criteria are not covered. CPT codes 0419T and 0420T and ICD‑10 codes L57.3 and L73.8 are excluded, seborrheic keratosis codes (L82.0–L82.1) are generally covered but not for dermatosis papulosa nigra, and small congenital nevi are not automatically covered based on size alone.

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