Overview of CPT Code 11105:biopsy-of-skin-excised-multiple-lesions
CPT Code 11105 refers to the excisional biopsy of multiple skin lesions. This procedure involves the surgical removal of skin tissue for diagnostic purposes, allowing for the examination of the tissue under a microscope to identify any abnormalities, including cancer.
When CPT Code 11105 is Used?
This code is applicable in various clinical scenarios.
- Suspicious skin lesions that may indicate malignancy.
- Multiple lesions requiring histological examination.
- Lesions that have changed in appearance or size.
- Skin lesions that are symptomatic, such as itching or bleeding.
Symptoms Indicating This Procedure
Patients may report various symptoms prompting this procedure.
- New or changing moles or skin spots.
- Itching, pain, or tenderness in the area of the lesions.
- Bleeding or oozing from skin lesions.
- Lesions that appear irregular in shape or color.
Causes and Risk Factors
Several factors can contribute to the development of skin lesions.
- Excessive sun exposure leading to skin damage.
- Family history of skin cancer.
- Weakened immune system due to conditions like HIV or medications.
- Previous skin cancer or precancerous lesions.
Diagnostic Tests Before Procedure
Certain tests may be conducted prior to the biopsy.
- Physical examination of the skin lesions.
- Dermatoscopy to evaluate the characteristics of the lesions.
- Blood tests if systemic conditions are suspected.
Procedure Description
The biopsy procedure follows a systematic approach.
- Patient is positioned comfortably and the area is cleaned.
- Local anesthesia is administered to numb the area.
- Multiple lesions are excised using a scalpel.
- Tissue samples are sent to a laboratory for analysis.
- The area is sutured or dressed as needed.
Preparation for the Procedure
Patients should follow specific guidelines before the biopsy.
- Avoid blood-thinning medications like aspirin prior to the procedure.
- Inform the doctor about any allergies or medical conditions.
- Arrive with clean skin, avoiding lotions or creams on the day of the procedure.
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.
- Avoid strenuous activities for a few days.
- Monitor for signs of infection such as increased redness or discharge.
Possible Complications
While generally safe, some risks are associated with the procedure.
- Infection at the biopsy site.
- Excessive bleeding.
- Scarring or changes in skin pigmentation.
- Allergic reactions to anesthesia.
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Post-Procedure Follow-Up
Follow-up is crucial for monitoring recovery.
- Schedule a follow-up appointment within 1-2 weeks to discuss biopsy results.
- Monitor the biopsy site for any unusual changes.
- Report any signs of complications to the healthcare provider immediately.
Alternative Treatments
There are non-surgical options for managing skin lesions.
- Topical treatments for benign lesions.
- Cryotherapy for certain skin conditions.
- Laser therapy for cosmetic concerns.
Home Care Tips
Patients can take steps to aid recovery at home.
- Keep the biopsy site clean and avoid touching it.
- Use over-the-counter pain relief as needed.
- Stay hydrated and maintain a balanced diet to support healing.
Patient Education & Prevention
Education is key to preventing skin issues.
- Regularly check skin for new or changing lesions.
- Use sunscreen to protect skin from UV damage.
- Schedule routine skin examinations with a dermatologist.
Billing and Coding Information
CPT Code: 11105
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 $1,000 depending on the complexity.
- Most insurance plans cover the procedure if deemed medically necessary.
- Patients should verify coverage with their insurance provider.
Related CPT Codes
- 11100 - Biopsy of skin, single lesion
- 11101 - Biopsy of skin, excisional, single lesion
- 17000 - Destruction of benign skin lesions
- 17003 - Destruction of benign skin lesions, 15 or more lesions
- 12001 - Simple Repair of Laceration, Face, Ears, Eyelids, Nose
References and Sources
Frequently Asked Questions (FAQs)
What is a skin biopsy?
A skin biopsy is a procedure to remove a small piece of skin for testing.
Is the biopsy painful?
Local anesthesia is used, so you should not feel pain during the procedure.
How long does it take to get results?
Results typically take about 1-2 weeks to be processed.
Will there be scarring?
Some scarring may occur, but it usually fades over time.
