Excision of Malignant Skin Lesions

Surgical excision with appropriate margins is the preferred and medically necessary treatment for malignant skin lesions (e.g., BCC, SCC, melanoma) when a pathology report verifies malignancy. Coverage requires documented histopathology and is subject to contractor Local Coverage Determinations and the requirement that the service be reasonable and necessary under SSA Section 1862(a)(1)(A).

"Complete surgical excision of a malignant skin lesion, including an appropriate margin of surrounding tissue to eradicate microscopic tumor cells, is the treatment of choice and considered medicall..."

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