Overview of CPT Code 11443: Excision, benign skin lesion, face, ears, scalp; excised diameter over 4.0 cm.

Overview of CPT Code 11443: Excision, benign skin lesion, face, ears, scalp; excised diameter over 4.0 cm.

CPT Code 11443 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 11443 is Used?

This code is applicable in various clinical scenarios, including:

• Large benign tumors such as dermatofibromas or lipomas on the face, ears, or scalp.
• Lesions that are symptomatic, causing pain or irritation.
• Cosmetic concerns where the patient desires removal of a large lesion.
• Lesions that require histological examination to rule out malignancy.

Symptoms Indicating This Procedure

Patients may report the following symptoms or clinical findings:

• Visible growth or lump on the skin that has increased in size.
• Pain or tenderness in the area of the lesion.
• Itching or irritation associated with the lesion.
• Changes in color or texture 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.
• 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 clear margins.
• The lesion is excised along with a margin of healthy tissue.
• The wound is closed with sutures or adhesive strips.
• Dressing is applied to protect the area.

Preparation for the Procedure

Patients should follow these preparation steps:

• Avoid blood thinners such as aspirin or ibuprofen a week prior to the procedure.
• Inform the physician of any allergies or medical conditions.
• Arrange for transportation if sedation is used.
• Follow any specific instructions provided by the healthcare provider.

Recovery and Aftercare

Post-procedure recovery typically involves:

• Resting for the remainder of the day after the procedure.
• Keeping the surgical site clean and dry.
• Changing the dressing as instructed by the healthcare provider.
• Taking prescribed pain medications as needed.
• Monitoring for signs of infection such as increased redness or discharge.

Possible Complications

While generally safe, potential complications include:

• Infection at the surgical site.
• Excessive bleeding during or after the procedure.
• Scarring or changes in skin pigmentation.
• Recurrence of the lesion.

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Post-Procedure Follow-Up

Follow-up care is essential for monitoring recovery:

• Schedule a follow-up appointment within 1-2 weeks to assess healing.
• Remove sutures if non-dissolvable sutures were used.
• Discuss pathology results if the lesion was sent for analysis.

Alternative Treatments

Non-surgical options may include:

• Cryotherapy for smaller lesions.
• Topical treatments for superficial skin growths.
• Laser therapy for cosmetic concerns.

Home Care Tips

Patients can follow these tips for effective home care:

• Keep the area clean and dry.
• Avoid picking at the wound.
• Use sunscreen on the healing area to prevent discoloration.
• Follow all aftercare instructions provided by the healthcare provider.

Patient Education & Prevention

To prevent recurrence and promote skin health:

• Regularly check skin for new growths or changes.
• Use sunscreen to protect skin from UV damage.
• Maintain a healthy lifestyle to support skin health.
• Consult a dermatologist for regular skin examinations.

Billing and Coding Information

CPT Code: 11443

Category: Surgical Procedures

Common Modifiers:

• 50 - Bilateral procedure
• RT - Right side
• LT - Left side

Average Cost and Insurance Coverage

The cost of the procedure can vary widely:

• Average cost ranges from $500 to $2,000 depending on complexity.
• Most insurance plans cover excision of benign lesions.
• Patients should verify coverage with their insurance provider.

Related CPT Codes

• 11442 - Excision, benign skin lesion, face, ears, scalp; excised diameter over 4.0 cm.
• 11446 - Excision, benign skin lesion, face, ears, scalp; excised diameter over 4.0 cm.
• 11400 - Excision, benign skin lesion, face, ears, scalp, neck; excised diameter over 4.0 cm.
• 11401 - 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.

References and Sources

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