Overview of CPT Code 11303: Shaving of skin lesion, excised diameter over 4.0 cm

CPT Code 11303 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 11303 is Used?

This code is applicable in various clinical scenarios.

Removal of large benign skin lesions such as seborrheic keratosis.
Excision of malignant skin lesions for further evaluation.
Treatment of skin lesions causing discomfort or cosmetic concerns.

Symptoms Indicating This Procedure

Patients may present with various symptoms prompting 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

Understanding the causes and risk factors can help in prevention.

Sun exposure leading to skin damage.
Family history of skin cancer.
Weakened immune system or previous skin cancer history.

Diagnostic Tests Before Procedure

Certain tests may be conducted prior to the procedure.

Skin biopsy to determine the nature of the lesion.
Dermatoscopy for detailed examination of the skin 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 numb the area.
The surgeon uses a scalpel to shave off the lesion.
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 week prior to the procedure.
Inform the doctor of any allergies or medications.
Arrive with clean skin, free of lotions or creams.

Recovery and Aftercare

Post-procedure care is crucial for healing.

Keep the area clean and dry for the first few days.
Apply prescribed ointment 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 essential for monitoring recovery.

Schedule a follow-up appointment within 1-2 weeks.
Review pathology results if a biopsy was performed.
Discuss any concerns regarding healing or symptoms.

Alternative Treatments

There are non-surgical options available.

Topical treatments for benign lesions.
Cryotherapy for freezing off lesions.
Laser therapy for cosmetic concerns.

Home Care Tips

Simple tips for effective home care.

Avoid sun exposure on the treated area.
Use gentle cleansers and avoid scrubbing.
Keep the area moisturized as advised by your doctor.

Patient Education & Prevention

Education is key to prevention and recurrence.

Regular skin checks for new or changing lesions.
Use sunscreen to protect against UV damage.
Report any unusual changes in skin promptly.

Billing and Coding Information

CPT Code: 11303

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.