Overview of CPT Code 11103: Biopsy, skin, excisional, each additional lesion

Overview of CPT Code 11103: Biopsy, skin, excisional, each additional lesion

CPT Code 11103 refers to the excisional biopsy of additional skin lesions beyond the first one. This procedure involves the surgical removal of skin tissue for diagnostic purposes, typically to evaluate suspicious moles or skin growths.

When CPT Code 11103 is Used?

This code is applicable in various clinical scenarios.

• Presence of multiple suspicious skin lesions requiring biopsy.
• Follow-up on previously diagnosed skin conditions.
• Assessment of lesions that have changed in appearance or size.

Symptoms Indicating This Procedure

Patients may report various symptoms prompting the need for a biopsy.

• Changes in the color or size of a mole.
• Itching or bleeding from a skin lesion.
• New growths on the skin that are asymmetrical or irregular.

Causes and Risk Factors

Several factors can contribute to the development of skin lesions.

• Sun exposure leading to skin damage.
• Family history of skin cancer.
• Weakened immune system due to medical conditions or medications.

Diagnostic Tests Before Procedure

Certain tests may be conducted to guide the biopsy procedure.

• Physical examination of the skin lesions.
• Dermatoscopy to visualize skin structures.
• Previous biopsy results or imaging studies.

Procedure Description

The excisional biopsy procedure involves several key steps.

• Patient is positioned comfortably and the area is cleaned.
• Local anesthesia is administered to numb the site.
• The surgeon excises the lesion along with a margin of healthy skin.
• The tissue is sent for pathological examination.
• The wound is closed with sutures or adhesive strips.

Preparation for the Procedure

Patients should follow specific guidelines before the biopsy.

• Avoid blood thinners or anti-inflammatory medications as advised.
• Inform the doctor about any allergies or medical conditions.
• Arrive with clean skin and wear comfortable clothing.

Recovery and Aftercare

Post-procedure care is essential for healing.

• Keep the biopsy site clean and dry.
• Change dressings as instructed by the healthcare provider.
• Monitor for signs of infection such as increased redness or discharge.

Possible Complications

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

• Infection at the biopsy site.
• Excessive bleeding.
• Scarring or changes in skin pigmentation.

Secure, compliant, and built for trust

HIPAA-compliant and designed with privacy in mind, your patient’s data is protected. Focus on care while we safeguard your information.

Learn more

Post-Procedure Follow-Up

Follow-up appointments are crucial for monitoring recovery.

• Schedule a follow-up visit within 1-2 weeks to review biopsy results.
• Monitor the healing process and address any concerns.
• Discuss further treatment options if necessary.

Alternative Treatments

There are non-surgical options for managing skin lesions.

• Topical treatments for benign skin conditions.
• Cryotherapy for superficial lesions.
• Laser therapy for certain types of skin growths.

Home Care Tips

Patients can take steps to aid their recovery at home.

• Avoid sun exposure on the biopsy site until healed.
• Use over-the-counter pain relief as needed.
• Follow the healthcare provider's instructions for wound care.

Patient Education & Prevention

Educating patients can help prevent skin issues.

• Regular skin checks for new or changing lesions.
• Use sunscreen to protect against UV damage.
• Avoid tanning beds and excessive sun exposure.

Billing and Coding Information

CPT Code: 11103

Category: Surgical Procedures

Common Modifiers:

• 51 - Multiple procedures
• 59 - Distinct procedural service

Average Cost and Insurance Coverage

Costs can vary based on several factors.

• Average cost ranges from $200 to $500 depending on the complexity.
• Most insurance plans cover medically necessary biopsies.
• Check with your insurance provider for specific coverage details.

Related CPT Codes

• 11100 - Biopsy of skin, single lesion
• 11101 - Biopsy of skin, excisional, single lesion
• 11400 - Excision, benign skin lesion, face, ears, scalp, neck; excised diameter over 4.0 cm.
• 11401 - Excision, benign skin lesion, face, ears, scalp, neck; excised diameter over 4.0 cm.
• 17000 - Destruction of benign skin lesions

References and Sources

• American Academy of Dermatology
• National Institutes of Health
• Mayo Clinic - Skin Biopsy