Overview of CPT Code 11308: Shaving of skin lesion, excised diameter over 4.0 cm

CPT Code 11308 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 by dermatologists to remove lesions that may be benign or suspicious for malignancy.

When CPT Code 11308 is Used?

This code is applicable in various clinical scenarios.

Large benign skin lesions that require removal.
Suspicious lesions that need to be excised for biopsy.
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 change in color, size, 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.
Genetic predisposition to skin lesions.
Previous history of skin cancer or lesions.

Diagnostic Tests Before Procedure

Certain tests may be conducted to guide the procedure.

Skin biopsy to assess the nature of the lesion.
Dermatoscopy for detailed examination of the lesion.
Imaging studies if deeper 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 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 doctor about 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 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.
Bleeding or hematoma formation.

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Post-Procedure Follow-Up

Follow-up is essential to ensure proper healing.

Schedule a follow-up appointment within 1-2 weeks.
Monitor the site for any unusual changes.
Discuss biopsy results if applicable.

Alternative Treatments

There are non-surgical options available.

Topical treatments for benign lesions.
Cryotherapy for freezing off lesions.
Laser therapy for certain types of skin 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.
Keep the area moisturized as advised by the doctor.

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.
Maintain a healthy lifestyle to support skin health.

Billing and Coding Information

CPT Code: 11308

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.