In the guideline paragraph for removal of skin tags, at the end of the paragraph there is a phrase " with or without local anesthesia". However, in the description of the code in this part, there is no mentioning of this phrase;

11200 Removal of skin tags, multiple fibrocutaneous tags, any are; up to and including 15 lesions

My question is if we are coding for " removal of skin tags with local anesthesia" should we use a code for the local anesthesia in addition to the code 11200?
Thanks