Overview of CPT Code 11451: Excision, benign skin lesion, face, ears, scalp, neck; excised diameter over 4.0 cm.

Overview of CPT Code 11451: Excision, benign skin lesion, face, ears, scalp, neck; excised diameter over 4.0 cm.

CPT Code 11451 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 11451 is Used?

This code is applicable in various clinical scenarios.

• Large benign skin lesions that are symptomatic or cosmetically concerning.
• Lesions that have changed in appearance or size.
• Lesions that are suspected to have malignant potential based on clinical evaluation.

Symptoms Indicating This Procedure

Patients may report several symptoms that warrant this procedure.

• Visible growths on the skin that are larger than 4.0 cm.
• Itching or irritation associated with the lesion.
• Bleeding or oozing from the lesion.
• Changes in color or texture of 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 conditions such as seborrheic keratosis or dermatofibromas.
• Weakened immune system increasing the risk of skin growths.

Diagnostic Tests Before Procedure

Certain tests may be conducted to confirm the need for excision.

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

Procedure Description

The excision procedure follows a systematic approach.

• Patient is positioned comfortably and the area is cleaned.
• Local anesthesia is administered to numb the area.
• A scalpel is used to excise the lesion along with a margin of healthy tissue.
• The excised tissue is sent for pathological examination.
• The wound is closed with sutures or adhesive strips.

Preparation for the Procedure

Proper preparation is essential for a smooth procedure.

• Avoid blood thinners and certain medications as advised by the physician.
• Do not apply any creams or lotions to the lesion area on the day of the procedure.
• Arrive at the facility with a responsible adult for post-procedure transportation.

Recovery and Aftercare

Post-procedure care is crucial for healing.

• Keep the surgical site clean and dry.
• Change dressings as instructed by the healthcare provider.
• Avoid strenuous activities for at least a week.
• Take prescribed pain medications as needed.

Possible Complications

While complications are rare, they can occur.

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

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Post-Procedure Follow-Up

Follow-up is important to monitor healing.

• Schedule a follow-up appointment within 1-2 weeks post-procedure.
• Monitor for signs of infection or complications.
• Discuss pathology results if the lesion was sent for analysis.

Alternative Treatments

There are non-surgical options available.

• Cryotherapy for smaller lesions.
• Topical treatments for superficial skin growths.
• Laser therapy for certain types of benign lesions.

Home Care Tips

Simple tips can aid in recovery.

• Keep the area clean and avoid touching it.
• Use ice packs to reduce swelling if necessary.
• Follow all aftercare instructions provided by your healthcare provider.

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.
• Maintain a healthy lifestyle to support skin health.

Billing and Coding Information

CPT Code: 11451

Category: Surgical Procedures

Common Modifiers:

• -50
• -59
• -76

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.
• 11406 - Excision, benign skin lesion; face, ears, scalp, neck, excised diameter over 4.0 cm
• 11420 - 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
• Cleveland Clinic - Skin Cancer