Overview of CPT Code 11310: Shaving of skin lesion, excised diameter greater than 4.0 cm

CPT Code 11310 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 or surgeons to remove lesions that may be benign or suspicious for malignancy.

When CPT Code 11310 is Used?

This code is applicable in various clinical scenarios.

Removal of large benign skin lesions such as seborrheic keratosis.
Excision of suspicious skin lesions for biopsy.
Treatment of skin cancers that require larger excisions.

Symptoms Indicating This Procedure

Patients may present with various symptoms prompting this procedure.

Visible skin lesions that are changing in size or color.
Lesions that are itchy, painful, or bleeding.
Presence of a lesion that has been diagnosed as potentially malignant.

Causes and Risk Factors

Several factors can contribute to the development of skin lesions.

Sun exposure leading to skin damage.
Genetic predisposition to skin conditions.
History of skin cancer in the family.

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 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 carefully.
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 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.
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.
Assess healing and address any concerns.

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.

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

Patient Education & Prevention

Education is key to preventing future lesions.

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

Billing and Coding Information

CPT Code: 11310

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.