Overview of CPT Code 11102: Excision, benign skin lesion; excised diameter over 4.0 cm

CPT Code 11102 refers to the surgical excision of a benign skin lesion with an excised diameter greater than 4.0 cm. This procedure is typically performed to remove lesions that may be symptomatic, cosmetically concerning, or have the potential for malignancy.

When CPT Code 11102 is Used?

This code is applicable in various clinical scenarios.

Large benign skin lesions that are symptomatic or causing discomfort.
Lesions that are growing or changing in appearance.
Cosmetic concerns regarding the appearance of large skin lesions.
Lesions that require histological examination to rule out malignancy.

Symptoms Indicating This Procedure

Patients may report various symptoms that lead to the consideration of this procedure.

Pain or tenderness at the site of the lesion.
Itching or irritation associated with the lesion.
Visible changes in the size or color of the lesion.
Bleeding or oozing from the lesion.

Causes and Risk Factors

Understanding the causes and risk factors can help in prevention and early detection.

Genetic predisposition to skin lesions.
Sun exposure leading to skin damage.
Previous skin injuries or infections.
Certain skin conditions like seborrheic keratosis or dermatofibromas.

Diagnostic Tests Before Procedure

Prior to the excision, certain diagnostic tests may be performed.

Physical examination of the lesion.
Dermatoscopy to assess the characteristics of the lesion.
Biopsy may be performed if malignancy is suspected.

Procedure Description

The excision procedure involves several key steps.

Patient is positioned comfortably and the area around the lesion is cleaned.
Local anesthesia is administered to numb the area.
A scalpel is used to excise the lesion along with a margin of healthy tissue.
The wound is closed with sutures or adhesive strips, depending on the size.

Preparation for the Procedure

Patients should follow specific guidelines to prepare for the excision.

Avoid blood thinners such as aspirin or ibuprofen a week prior to the procedure.
Inform the physician of any allergies or medical conditions.
Arrive at the appointment with clean skin and avoid applying lotions or creams.

Recovery and Aftercare

Post-procedure care is crucial for optimal healing.

Keep the excision site clean and dry.
Change dressings as instructed by the healthcare provider.
Avoid strenuous activities for at least a week.
Follow up for suture removal if applicable.

Possible Complications

While generally safe, there are potential risks associated with the procedure.

Infection at the excision site.
Excessive bleeding during or after the procedure.
Scarring or changes in skin pigmentation.
Recurrence of the lesion.

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Post-Procedure Follow-Up

Follow-up care is essential to monitor healing.

Schedule a follow-up appointment within 1-2 weeks post-procedure.
Monitor for signs of infection or complications.
Discuss pathology results if the lesion was sent for analysis.

Alternative Treatments

There are non-surgical options available for managing benign skin lesions.

Cryotherapy to freeze off the lesion.
Topical treatments for superficial lesions.
Laser therapy for cosmetic concerns.

Home Care Tips

Patients can take steps at home to aid recovery.

Keep the area clean and avoid touching it unnecessarily.
Use over-the-counter pain relief as needed.
Apply ice packs to reduce swelling if necessary.

Patient Education & Prevention

Educating patients on prevention can reduce the risk of future lesions.

Use sunscreen to protect skin from UV damage.
Regularly check skin for new or changing lesions.
Consult a dermatologist for any concerns regarding skin changes.

Billing and Coding Information

CPT Code: 11102

Category: Surgical Procedures

Common Modifiers:

25 - Significant, separately identifiable evaluation and management service by the same physician on the same day of the procedure.
59 - Distinct procedural service.