Overview of CPT Code 11444: Excision, benign skin lesion, face, ears, scalp; excised diameter over 4.0 cm.

Overview of CPT Code 11444: Excision, benign skin lesion, face, ears, scalp; excised diameter over 4.0 cm.

CPT Code 11444 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 11444 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 size of the lesion affects appearance.
• 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.
• Itching, tenderness, or pain associated with the lesion.
• Changes in color or texture of the skin lesion.
• Bleeding or oozing from the 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 carefully excised and sent for pathological examination.
• The incision is closed with sutures or adhesive strips.

Preparation for the Procedure

Patients should follow these preparation steps:

• Avoid blood-thinning medications such as aspirin or ibuprofen for a week prior.
• Inform the physician 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:

• Keeping the surgical site clean and dry.
• Changing dressings as instructed by the healthcare provider.
• Taking prescribed pain medications as needed.
• Avoiding strenuous activities for a few weeks.

Possible Complications

While generally safe, potential complications include:

• Infection at the surgical site.
• Excessive bleeding or hematoma formation.
• Scarring or changes in skin pigmentation.
• Recurrence of the lesion.

Secure, compliant, and built for trust

HIPAA-compliant and designed with privacy in mind, your patient’s data is protected. Focus on care while we safeguard your information.

Learn more

Post-Procedure Follow-Up

Follow-up care is essential for monitoring recovery:

• Schedule a follow-up appointment within 1-2 weeks to assess healing.
• Review pathology results if the lesion was sent for analysis.
• Monitor for any signs of complications or recurrence.

Alternative Treatments

In some cases, alternative treatments may be considered:

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

Home Care Tips

Patients can follow these home care tips:

• Keep the area clean and avoid touching it unnecessarily.
• Apply ice packs to reduce swelling if needed.
• Follow all post-operative 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.
• Consult a dermatologist for any concerning skin changes.

Billing and Coding Information

CPT Code: 11444

Category: Surgical Procedures

Common Modifiers:

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

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 if medically necessary.

Related CPT Codes

• 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.
• 11446 - 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 Cancer