CPT code 11055: Paring or cutting of benign hyperkeratotic lesion (e.g., corn or callus)

Better understand how to use CPT code 11055 with our guide that includes a list of documentation requirements and billing guidelines.

Use Code

What is the 11055 CPT code?

CPT code 11055 refers to the paring or removal of a single benign hyperkeratotic lesion, such as a callus or corn, typically located on the feet or hands.

This procedure removes excess keratinized tissue to reduce pain, pressure, or skin breakdown, often performed by podiatrists or dermatologists.

It applies to one lesion only—use 11056–11057 for multiple lesions.

CPT code 11055 documentation requirements

The procedure note must include:

  • Location and size of the lesion
  • Clinical indication (e.g., pain, ambulation issues)
  • Instrumentation used (scalpel, curette)
  • Description of the lesion as benign/hyperkeratotic
  • Note if the lesion recurs or if the patient has contributing underlying conditions like diabetes or neuropathy.

Do note that for Medicare, you must specify the class findings to indicate severe peripheral involvement. For example, Class A is for non-traumatic amputation of the foot or integral skeletal portion thereof, Class B for absent posterior tibial pulse, while Class C is for claudication, edema, etc.

CPT code 11055 billing guidelines

Ensure accurate and consistent coding by following the billing guidelines for CPT code 11055 below:

  • Bill only for a single lesion
  • For two to four lesions, use 11056; for 5+, use 11057.
  • Requires careful justification when used for Medicare beneficiaries. Often denied as routine foot care service unless criteria are met (e.g., systemic disease like diabetic neuropathy, pain, ulcer risk).
  • Use appropriate ICD-10 codes and check LCD/NCD policies for your MAC.

Other relevant CPT Codes

  • 11056 – Paring of 2–4 lesions
  • 11057 – Paring of 5 or more lesions
  • 11720 – Debridement of nails

Frequently asked questions

Is 11055 considered routine care?

Yes, unless the patient meets criteria under systemic conditions (e.g., diabetes + neuropathy).

Do I need to document all comorbidities?

Yes. Medical necessity is key for reimbursement.

Can I report this with an E/M?

Yes, with modifier 25, if separately identifiable and documented.

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