Overview of CPT Code 11602: Excision, malignant skin lesion, face, ears, scalp, neck; excised diameter over 4.0 cm.

Overview of CPT Code 11602: Excision, malignant skin lesion, face, ears, scalp, neck; excised diameter over 4.0 cm.

CPT Code 11602 refers to the surgical excision of a malignant skin lesion located on the face, ears, scalp, or neck, where the excised diameter of the lesion exceeds 4.0 cm. This procedure is typically performed to remove cancerous skin growths and prevent the spread of malignancy.

When CPT Code 11602 is Used?

This code is applicable in various clinical scenarios, including:

• Presence of a malignant skin lesion larger than 4.0 cm on the face, ears, scalp, or neck.
• Lesions that have been biopsied and confirmed as malignant.
• Lesions that exhibit signs of growth or changes in appearance.
• Patients with a history of skin cancer requiring excision of new lesions.

Symptoms Indicating This Procedure

Patients may report the following symptoms or clinical findings:

• A noticeable growth or sore on the skin that does not heal.
• Changes in the color, shape, or size of a mole or skin lesion.
• Itching, bleeding, or crusting of the lesion.
• Pain or discomfort in the area of the lesion.

Causes and Risk Factors

Several factors can contribute to the development of malignant skin lesions:

• Excessive sun exposure leading to skin damage.
• Family history of skin cancer.
• Fair skin, light hair, and light eyes.
• Weakened immune system due to conditions or medications.

Diagnostic Tests Before Procedure

Prior to the excision, the following diagnostic tests may be performed:

• Skin biopsy to confirm malignancy.
• Imaging studies such as ultrasound or CT scan if deeper invasion is suspected.
• Complete blood count (CBC) to assess overall health.

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 staples, and a dressing is applied.

Preparation for the Procedure

Patients should follow these preparation steps:

• Avoid blood-thinning medications such as aspirin or ibuprofen for a week prior.
• Discuss any allergies or medical conditions with the healthcare provider.
• Arrive at the appointment with clean skin and avoid applying lotions or creams.

Recovery and Aftercare

Post-procedure recovery typically involves:

• Resting for the first 24 hours 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.

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 malignant 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.
• Monitor for any signs of infection or complications.
• Discuss pathology results of the excised tissue during follow-up.

Alternative Treatments

Non-surgical options may include:

• Topical chemotherapy for superficial skin cancers.
• Cryotherapy to freeze and destroy abnormal cells.
• Photodynamic therapy using light to treat certain skin cancers.

Home Care Tips

Patients can follow these tips for effective home care:

• Keep the surgical area clean and dry.
• Avoid sun exposure on the healing site.
• Use sunscreen to protect the area once healed.
• Report any unusual symptoms to the healthcare provider.

Patient Education & Prevention

To prevent skin cancer and recurrence, consider these points:

• Regular skin checks for new or changing lesions.
• Use sunscreen with a high SPF and wear protective clothing.
• Avoid tanning beds and excessive sun exposure.
• Maintain a healthy lifestyle to support skin health.

Billing and Coding Information

CPT Code: 11602

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:

• Average cost ranges from $1,500 to $3,000 depending on location and complexity.
• Most insurance plans cover excision of malignant lesions.
• Patients should verify coverage details with their insurance provider.

Related CPT Codes

• 11601 - Excision, malignant skin lesion, face, ears, scalp, neck; excised diameter over 4.0 cm.
• 11603 - Excision, malignant 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
• 11402 - Excision, benign skin lesion, face, ears, scalp, neck; excised diameter over 4.0 cm.
• 11604 - Excision, malignant skin lesion, face, ears, scalp, neck; excised diameter over 4.0 cm.

References and Sources

• American Academy of Dermatology
• National Cancer Institute
• Mayo Clinic - Skin Cancer