Excisions: Removal of lipomas, sebhorrheic keratoses, skin tags

Applies to:

  • Commercial group HMO, EPO, POS and PPO plans
  • Commercial individual MyPriority® plans
  • Priority Health Choice plans (Medicaid and Healthy Michigan Plan) - Some treatments are excluded from coverage, reference the certificate of coverage.
  • Priority Health Medicare plans


Surgical excision of lipomas, sebhorrheic keratoses, and skin tags, as defined by the CPT codes below.

Medical policy

Excisions coverage

All excisions may be covered at non-standard cost-sharing levels.

Non-standard cost-sharing

If/when commercial employer group and MyPriority® individual plans cover certain surgeries, these surgeries may be covered at a different cost-sharing level than our standard benefit coverage levels.

To verify member cost sharing and coverage, use the Member Inquiry tool and look in the Additional benefits drop-down menu for Certain surgeries benefit information.