Overview of CPT Code 11106: Excision, benign skin lesion, face, ears, scalp, neck

Overview of CPT Code 11106: Excision, benign skin lesion, face, ears, scalp, neck

CPT Code 11106 refers to the surgical excision of a benign skin lesion located on the face, ears, scalp, or neck. This procedure is typically performed to remove lesions that may be causing discomfort, cosmetic concerns, or have the potential for malignancy.

When CPT Code 11106 is Used?

This code is applicable in various clinical scenarios.

• Removal of benign moles or skin tags that are symptomatic or cosmetically undesirable.
• Excision of seborrheic keratosis or other benign growths that may irritate or become inflamed.
• Lesions that have changed in appearance and require histological examination to rule out malignancy.

Symptoms Indicating This Procedure

Patients may report several symptoms that lead to the decision for excision.

• Visible skin lesions that are raised or discolored.
• Itching, irritation, or discomfort associated with the lesion.
• Changes in the size, shape, or color of a skin lesion.

Causes and Risk Factors

Several factors can contribute to the development of benign skin lesions.

• Genetic predisposition to skin growths.
• Sun exposure leading to skin changes.
• Age-related skin changes resulting in benign lesions.

Diagnostic Tests Before Procedure

Certain tests may be conducted to assess the lesion prior to excision.

• Physical examination of the lesion by a healthcare provider.
• Dermatoscopy to evaluate the characteristics of the lesion.
• Biopsy may be performed if malignancy is suspected.

Procedure Description

The excision procedure follows a systematic approach.

• The patient is positioned comfortably and the area is cleaned.
• Local anesthesia is administered to numb the area around the lesion.
• 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 before the procedure.

• Avoid blood thinners such as aspirin or ibuprofen for a week prior.
• Inform the doctor of any allergies or medications being taken.
• Arrive with clean skin and avoid applying lotions or creams on the day of the procedure.

Recovery and Aftercare

Post-procedure care is essential for optimal healing.

• Keep the excision site clean and dry for the first few days.
• Apply prescribed ointments and change dressings as directed.
• Avoid sun exposure on the healing area to prevent discoloration.

Possible Complications

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

• Infection at the excision site.
• Scarring or changes in skin pigmentation.
• Recurrence of the lesion if not completely excised.

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Post-Procedure Follow-Up

Follow-up appointments are crucial for monitoring recovery.

• Schedule a follow-up visit within 1-2 weeks to assess healing.
• Discuss pathology results if a biopsy was performed.
• Monitor for any signs of complications or recurrence.

Alternative Treatments

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

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

Home Care Tips

Patients can take steps at home to aid recovery.

• Keep the area clean and avoid touching it unnecessarily.
• Use cold compresses to reduce swelling and discomfort.
• Follow all aftercare instructions provided by the healthcare provider.

Patient Education & Prevention

Educating patients on prevention can reduce recurrence.

• Regular skin checks for new or changing lesions.
• Use sunscreen to protect skin from UV damage.
• Avoid excessive sun exposure, especially during peak hours.

Billing and Coding Information

CPT Code: 11106

Category: Surgical Procedures

Common Modifiers:

• 50 - Bilateral procedure
• 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 complexity.
• Most insurance plans cover the procedure if deemed medically necessary.
• Out-of-pocket costs may apply depending on the insurance policy.

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.
• 11402 - Excision, benign skin lesion, face, ears, scalp, neck; excised diameter over 4.0 cm.

References and Sources

• American Academy of Dermatology
• Mayo Clinic - Skin Lesions
• Cleveland Clinic - Skin Lesions