Overview of CPT Code 11313: Shaving of skin lesion, excised diameter over 4.0 cm

CPT Code 11313 refers to the surgical procedure involving the shaving of 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 11313 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 careful removal.
Treatment of skin lesions that are symptomatic, such as causing pain or irritation.
Cosmetic reasons for removing large skin lesions.

Symptoms Indicating This Procedure

Patients may report various symptoms that necessitate this procedure.

Visible skin lesions that are larger than 4.0 cm.
Lesions that are changing in size, color, or shape.
Itching, pain, or discomfort associated with the lesion.
Bleeding or oozing from 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.
History of skin cancer or precancerous lesions.
Weakened immune system conditions.

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 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 about any allergies or medications.
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 for at least a week.
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.
Excessive bleeding during or after the procedure.
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 or complications experienced.

Alternative Treatments

There are non-surgical options available.

Topical treatments for benign lesions.
Cryotherapy for freezing off certain skin lesions.
Laser therapy for cosmetic removal of skin lesions.

Home Care Tips

Simple tips to aid in 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.

Use sunscreen to protect skin from UV damage.
Regular skin checks for early detection of lesions.
Avoid tanning beds and excessive sun exposure.
Maintain a healthy lifestyle to support skin health.

Billing and Coding Information

CPT Code: 11313

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.