Overview of CPT Code 11302: Shaving of skin lesion, excised diameter over 4.0 cm

CPT Code 11302 refers to the surgical procedure of shaving a skin lesion with an excised diameter greater than 4.0 cm. This procedure is typically performed to remove benign or malignant skin lesions for diagnostic or therapeutic purposes.

When CPT Code 11302 is Used?

CPT Code 11302 is indicated in various clinical scenarios.

Removal of large benign skin lesions such as seborrheic keratosis.
Excision of malignant skin lesions for biopsy or treatment.
Management of skin lesions causing discomfort or cosmetic concerns.

Symptoms Indicating This Procedure

Patients may present with various symptoms that necessitate this procedure.

Visible skin lesions that are larger than 4.0 cm.
Lesions that are changing in size, color, or shape.
Itching, bleeding, or discomfort associated with the lesion.

Causes and Risk Factors

Several factors can contribute to the development of skin lesions.

Sun exposure leading to actinic keratosis.
Genetic predisposition to skin conditions.
History of skin cancer or precancerous lesions.

Diagnostic Tests Before Procedure

Certain tests may be conducted to guide the procedure.

Skin biopsy to determine the nature of the lesion.
Dermatoscopy for detailed examination of the lesion.
Imaging studies if deeper tissue involvement is suspected.

Procedure Description

The procedure involves several key steps.

Patient is positioned comfortably and the area is cleaned.
Local anesthesia is administered to minimize discomfort.
The lesion is carefully shaved off using a surgical blade.
Hemostasis is achieved, and the area is dressed appropriately.

Preparation for the Procedure

Patients should follow specific guidelines before the procedure.

Avoid blood thinners for a few days prior to the procedure.
Inform the physician of any allergies or medical conditions.
Arrive with clean skin, free of lotions or creams.

Recovery and Aftercare

Post-procedure care is essential for healing.

Keep the area clean and dry for the first few days.
Apply prescribed ointments to promote healing.
Monitor for signs of infection such as increased redness or discharge.

Possible Complications

While generally safe, there are potential risks.

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

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Post-Procedure Follow-Up

Follow-up is crucial for monitoring recovery.

Schedule a follow-up appointment within 1-2 weeks.
Review pathology results if a biopsy was performed.
Assess healing and address any concerns.

Alternative Treatments

There are non-surgical options available.

Topical treatments for superficial lesions.
Cryotherapy for freezing off certain skin lesions.
Laser therapy for targeted removal of lesions.

Home Care Tips

Patients can take steps to aid recovery at home.

Avoid sun exposure on the treated area.
Use gentle cleansers and avoid harsh scrubs.
Stay hydrated and maintain a healthy diet to support healing.

Patient Education & Prevention

Education is key to preventing future lesions.

Regular skin checks for early detection of new lesions.
Use sunscreen to protect against UV damage.
Avoid tanning beds and excessive sun exposure.

Billing and Coding Information

CPT Code: 11302

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.