Paring or cutting of benign hyperkeratotic lesion (e.g., corn or callus), more than 4 lesions

CPT 11057 is the billing code for "Paring or cutting of benign hyperkeratotic lesion (e.g., corn or callus), more than 4 lesions". Paring or cutting of 5 or more benign hyperkeratotic lesions such as corns or calluses

Medicare pays approximately $86.04 for CPT 11057 (national average). Actual payment varies by geographic location due to GPCI adjustments. Hospital and commercial insurance rates are typically 2-4x higher than Medicare rates.

CPT 11057 has a total RVU of 1.71, broken down as: Work RVU 0.75, Practice Expense RVU 0.90, and Malpractice RVU 0.06. RVUs (Relative Value Units) determine Medicare reimbursement rates.

Key documentation requirements for CPT 11057 include: Number of lesions documented (5+); Location of lesions documented; Type of lesions documented; Method of paring documented. Missing or incomplete documentation is a leading cause of claim denials for this code.

Bundling considerations for CPT 11057: 5+ lesions. Use 11055 for single lesion Use an NCCI bundling checker to verify specific code combinations before billing.

Common modifiers for CPT 11057 include: 59 (Distinct procedural service when multiple procedures performed), 50 (Bilateral procedure). Modifiers indicate special circumstances and can affect reimbursement or prevent claim denials.

The typical time requirement for CPT 11057 is Typically 20-30 minutes. Time-based codes require documentation of the actual time spent providing the service.