Overview of CPT Code 11311: Shaving of skin lesion, excised diameter over 4.0 cm

Overview of CPT Code 11311: Shaving of skin lesion, excised diameter over 4.0 cm

CPT Code 11311 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 while preserving surrounding healthy tissue.

When CPT Code 11311 is Used?

CPT Code 11311 is indicated in various clinical scenarios.

• Removal of large benign skin lesions such as seborrheic keratosis.
• Excision of malignant skin lesions that require a larger area of removal.
• Treatment of skin lesions that are symptomatic, such as causing pain or irritation.

Symptoms Indicating This Procedure

Patients may report various symptoms that lead to the need for this procedure.

• Visible growths or lesions on the skin that are larger than 4.0 cm.
• Lesions that are painful, itchy, or bleeding.
• Changes in the appearance of existing moles or skin lesions.

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 or precancerous lesions.

Diagnostic Tests Before Procedure

Certain tests may be conducted to guide the decision for this 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 or a similar instrument to shave off the lesion.
• The excised tissue is sent for pathological examination if necessary.
• The area is cleaned and dressed appropriately.

Preparation for the Procedure

Patients should follow specific guidelines before the procedure.

• Avoid blood-thinning medications for a few days prior to the procedure.
• Inform the doctor about any allergies or medical conditions.
• Arrive at the appointment 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 as directed.
• Monitor for signs of infection such as increased redness or discharge.

Possible Complications

While generally safe, there are potential risks associated with the procedure.

• 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 care is important for monitoring recovery.

• Schedule a follow-up appointment within 1-2 weeks to assess healing.
• Discuss pathology results if the lesion was sent for analysis.
• Report any unusual symptoms or concerns to the healthcare provider.

Alternative Treatments

There are non-surgical options available for managing skin lesions.

• Topical treatments for benign lesions.
• Cryotherapy for freezing off certain skin lesions.
• Laser therapy for targeted removal of skin growths.

Home Care Tips

Patients can take steps at home to aid recovery.

• Avoid sun exposure on the treated area until healed.
• Use gentle cleansers and avoid harsh scrubs.
• Keep the area moisturized to promote healing.

Patient Education & Prevention

Educating patients on prevention can reduce recurrence.

• Regular skin checks for new or changing lesions.
• Use sunscreen to protect skin from UV damage.
• Avoid tanning beds and excessive sun exposure.

Billing and Coding Information

CPT Code: 11311

Category: Surgical Procedures

Common Modifiers:

• 51 - Multiple procedures
• 59 - Distinct procedural service

Average Cost and Insurance Coverage

Costs can vary based on location and insurance.

• Average cost ranges from $300 to $800.
• Most insurance plans cover the procedure if deemed medically necessary.

Related CPT Codes

• 11300 - Removal of skin lesion, excised, benign, face, ears, scalp, neck
• 11301 - Shaving of Skin Lesion, Face, Ears, Scalp
• 11302 - Shaving of skin lesion, excised diameter over 4.0 cm
• 11303 - Shaving of skin lesion, excised diameter over 4.0 cm

References and Sources

• American Academy of Dermatology
• Mayo Clinic - Skin Lesions