Overview of CPT Code 11306: Shaving of skin lesion, excised diameter over 4.0 cm

CPT Code 11306 refers to the surgical procedure for shaving off a skin lesion with an excised diameter greater than 4.0 cm. This procedure is typically performed to remove benign or malignant skin growths, ensuring complete excision while minimizing damage to surrounding tissue.

When CPT Code 11306 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 that require complete removal.
Treatment of skin lesions that are symptomatic, such as causing pain or irritation.
Lesions that are cosmetically concerning to the patient.

Symptoms Indicating This Procedure

Patients may report various symptoms that necessitate this procedure.

Visible growths on the skin that change in size or color.
Itching, pain, or discomfort associated with the lesion.
Bleeding or oozing from the lesion.
Lesions that are inflamed or infected.

Causes and Risk Factors

Understanding the causes and risk factors can help in prevention.

Sun exposure leading to skin damage.
Genetic predisposition to skin conditions.
History of skin cancer in the patient or family.
Weakened immune system due to various health conditions.

Diagnostic Tests Before Procedure

Certain tests may be conducted to guide the procedure.

Skin biopsy to determine the nature of the lesion.
Dermatoscopy to assess the characteristics 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 numb the area.
The surgeon uses a scalpel to shave off the lesion carefully.
Hemostasis is achieved using cautery if necessary.
The site is dressed appropriately to promote healing.

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 being taken.
Arrive with clean skin, free of lotions or creams.
Arrange for transportation if sedation is used.

Recovery and Aftercare

Post-procedure care is crucial for healing.

Keep the area clean and dry for the first few days.
Change the dressing as instructed by the healthcare provider.
Avoid strenuous activities that may stress the area.
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.
Bleeding or hematoma formation.
Recurrence of the lesion if not completely excised.

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 is essential 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 or complications.

Alternative Treatments

There are non-surgical options available.

Cryotherapy for freezing off benign lesions.
Topical treatments for superficial skin cancers.
Laser therapy for certain types of skin lesions.

Home Care Tips

Patients can take steps to aid recovery at home.

Keep the wound clean and dry.
Avoid picking at scabs or lesions.
Use over-the-counter pain relief as needed.
Stay hydrated and maintain a healthy diet.

Patient Education & Prevention

Education is key to preventing future lesions.

Regular skin checks for new or changing lesions.
Use sunscreen to protect against UV damage.
Avoid tanning beds and excessive sun exposure.
Maintain a healthy lifestyle to support skin health.

Billing and Coding Information

CPT Code: 11306

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.