Overview of CPT Code 11441: Excision, benign skin lesion, face, ears, scalp; excised diameter over 4.0 cm.

Overview of CPT Code 11441: Excision, benign skin lesion, face, ears, scalp; excised diameter over 4.0 cm.

CPT Code 11441 refers to the surgical excision of a benign skin lesion located on the face, ears, or scalp, 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 11441 is Used?

This code is applicable in various clinical scenarios.

• Large benign tumors or cysts on the face, ears, or scalp.
• Lesions that are symptomatic, such as causing pain or irritation.
• Cosmetic concerns regarding the appearance of large skin lesions.
• Lesions that require histological examination to rule out malignancy.

Symptoms Indicating This Procedure

Patients may report various symptoms that lead to the consideration of this procedure.

• Visible growths or lumps on the skin.
• Itching or irritation in the area of the lesion.
• Bleeding or oozing from the lesion.
• Changes in the color or texture of the skin lesion.

Causes and Risk Factors

Understanding the causes and risk factors can help in prevention and early detection.

• Genetic predisposition to skin lesions.
• Sun exposure leading to skin damage.
• Previous skin injuries or infections.
• Certain skin conditions, such as seborrheic keratosis or dermatofibromas.

Diagnostic Tests Before Procedure

Several diagnostic tests may be conducted prior to the excision.

• Physical examination of the lesion.
• Dermatoscopy to assess the characteristics of the lesion.
• Biopsy of the lesion if malignancy is suspected.

Procedure Description

The excision procedure involves several key 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.
• The lesion is carefully excised along with a margin of healthy tissue.
• The wound is closed with sutures or adhesive strips.

Preparation for the Procedure

Proper preparation can enhance the success of the procedure.

• Avoid blood thinners and certain medications as advised by the physician.
• Inform the doctor about any allergies or medical conditions.
• Arrive at the appointment with clean skin, free of lotions or makeup.

Recovery and Aftercare

Post-procedure care is crucial for optimal healing.

• Keep the surgical site clean and dry.
• Change dressings as instructed by the healthcare provider.
• Avoid strenuous activities for a few weeks.
• Monitor for signs of infection, such as increased redness or discharge.

Possible Complications

While complications are rare, they can occur.

• Infection at the surgical site.
• Scarring or changes in skin texture.
• Bleeding or hematoma formation.
• Recurrence of the lesion.

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Post-Procedure Follow-Up

Follow-up appointments are essential for monitoring recovery.

• Schedule a follow-up visit within 1-2 weeks post-surgery.
• Remove sutures if non-dissolvable ones were used.
• Discuss pathology results if a biopsy was performed.

Alternative Treatments

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

• Cryotherapy to freeze and remove lesions.
• Topical treatments for superficial lesions.
• Laser therapy for cosmetic concerns.

Home Care Tips

Simple home care can aid in recovery.

• Keep the area clean and avoid touching it.
• Use over-the-counter pain relief as needed.
• Apply ice packs to reduce swelling.

Patient Education & Prevention

Education is key to preventing future lesions.

• Regular skin checks for new or changing lesions.
• Use sunscreen to protect skin from UV damage.
• Avoid excessive sun exposure, especially during peak hours.

Billing and Coding Information

CPT Code: 11441

Category: Surgical Procedures

Common Modifiers:

• 50 (bilateral procedure)
• 59 (distinct procedural service)

Average Cost and Insurance Coverage

Costs can vary based on several factors.

• Average cost ranges from $500 to $2,000 depending on the complexity.
• Most insurance plans cover excision of benign lesions.
• Check with your insurance provider for specific coverage details.

Related CPT Codes

• 11400 - Excision, benign skin lesion, face, ears, scalp, neck; excised diameter over 4.0 cm.
• 11402 - Excision, benign skin lesion, face, ears, scalp, neck; excised diameter over 4.0 cm.
• 11403 - Excision, benign skin lesion, face, ears, scalp; excised diameter over 4.0 cm.
• 11404 - Excision, benign skin lesion, face, ears, scalp; excised diameter over 4.0 cm.
• 11406 - Excision, benign skin lesion; face, ears, scalp, neck, excised diameter over 4.0 cm

References and Sources

• American Academy of Dermatology
• Mayo Clinic - Skin Lesions