Overview of CPT Code 11440: Excision, benign skin lesion, face, ears, scalp, neck; excised diameter over 4.0 cm

Overview of CPT Code 11440: Excision, benign skin lesion, face, ears, scalp, neck; excised diameter over 4.0 cm

CPT Code 11440 refers to the surgical excision of a benign skin lesion located on the face, ears, scalp, or neck, where the excised diameter exceeds 4.0 cm. This procedure is typically performed to remove lesions that may be causing discomfort, cosmetic concerns, or have the potential for malignancy.

When CPT Code 11440 is Used?

This code is applicable in various clinical scenarios, including but not limited to:

• Large benign tumors such as dermatofibromas or lipomas on the face or neck.
• Skin lesions that are symptomatic, such as those causing pain or irritation.
• Lesions that have changed in appearance or size, raising concerns for potential malignancy.
• Cosmetic removal of large lesions for aesthetic reasons.

Symptoms Indicating This Procedure

Patients may report various symptoms that lead to the consideration of this procedure, including:

• Visible growths or lumps on the skin that are larger than 4.0 cm.
• Pain or tenderness in the area of the lesion.
• Itching or irritation associated with the lesion.
• Changes in color, shape, or size of the skin lesion.

Causes and Risk Factors

Several factors can contribute to the development of benign skin lesions, including:

• Genetic predisposition to skin growths.
• Sun exposure leading to skin changes.
• Previous skin injuries or trauma.
• Certain skin conditions such as seborrheic keratosis.

Diagnostic Tests Before Procedure

Before proceeding with the excision, the following diagnostic tests may be conducted:

• Physical examination of the lesion by a healthcare provider.
• Dermatoscopy to assess the characteristics of the lesion.
• Biopsy may be performed if malignancy is suspected.

Procedure Description

The excision procedure typically follows these steps:

• Patient is positioned comfortably and the area is cleaned.
• Local anesthesia is administered to numb the area.
• A surgical incision is made around the lesion, ensuring complete removal.
• The lesion is excised, and the surrounding tissue is assessed.
• The incision is closed with sutures or adhesive strips.

Preparation for the Procedure

Patients should follow these preparation steps prior to the procedure:

• Avoid blood-thinning medications such as aspirin or ibuprofen for a week before surgery.
• Inform the doctor of any allergies or medical conditions.
• Arrive with clean skin, free of lotions or makeup in the area of the procedure.

Recovery and Aftercare

Post-procedure recovery typically involves:

• A recovery period of 1-2 weeks for the incision to heal.
• Keeping the surgical site clean and dry.
• Applying prescribed ointments and taking pain medications as needed.
• Monitoring for signs of infection such as increased redness or discharge.

Possible Complications

While generally safe, this procedure may carry some risks, including:

• Infection at the surgical site.
• Scarring or changes in skin pigmentation.
• Recurrence of the lesion if not completely excised.
• Allergic reactions to anesthesia or medications.

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Post-Procedure Follow-Up

Follow-up care is essential for monitoring recovery, typically involving:

• A follow-up appointment within 1-2 weeks to check the healing process.
• Suture removal if non-dissolvable sutures were used.
• Further evaluation if any concerning symptoms arise.

Alternative Treatments

In some cases, alternative management options may include:

• Observation for small, asymptomatic lesions.
• Cryotherapy for smaller lesions.
• Topical treatments for certain benign skin conditions.

Home Care Tips

Patients can follow these home care tips for optimal recovery:

• Keep the area clean and dry.
• Avoid strenuous activities that may stress the incision.
• Use sunscreen on the healing area to prevent discoloration.

Patient Education & Prevention

To prevent recurrence and promote skin health, consider the following:

• Regular skin checks for new or changing lesions.
• Use of sunscreen to protect against UV damage.
• Healthy lifestyle choices to support skin health.

Billing and Coding Information

CPT Code: 11440

Category: Surgical Procedures

Common Modifiers:

• 50 (Bilateral procedure)
• 59 (Distinct procedural service)

Average Cost and Insurance Coverage

The cost for this procedure can vary widely based on location and facility.

• Average costs range from $500 to $2,000.
• Most insurance plans cover excision of benign lesions if medically necessary.

Related CPT Codes

• 11441 - Excision, benign skin lesion, face, ears, scalp; excised diameter over 4.0 cm.
• 11442 - Excision, benign skin lesion, face, ears, scalp; excised diameter over 4.0 cm.
• 11443 - Excision, benign skin lesion, face, ears, scalp; excised diameter over 4.0 cm.
• 12001 - Simple Repair of Laceration, Face, Ears, Eyelids, Nose
• 12002 - Simple repair of superficial wound, face, ears, eyelids, scalp, neck

References and Sources

• American Academy of Dermatology
• Mayo Clinic - Skin Lesions
• Cleveland Clinic - Skin Cancer
• National Institutes of Health - Skin Lesions