Removal of Benign Skin Lesions

Medicare covers removal of benign skin lesions when medical necessity is documented — examples include symptomatic lesions, those obstructing an orifice, lesions impairing eye function, diagnostic uncertainty suggestive of malignancy, prior biopsy showing atypia, lesions subject to recurrent trauma, infected/ruptured cysts, molluscum contagiosum, and specified wart situations. Cosmetic removal of asymptomatic lesions and location-only justifications are not covered; documentation of clinical findings and prior pathology, advance notification for cosmetic cases, and adherence to CMS/NCD/LCD billing rules are required.

"Removal of benign skin lesions (e."

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