Overview of CPT Code 11620: Excision, malignant skin lesion, face, ears, scalp, neck; excised diameter over 4.0 cm.
CPT Code 11620 refers to the surgical excision of a malignant skin lesion located on the face, ears, scalp, or neck, where the excised diameter exceeds 4.0 cm. This procedure is performed to remove cancerous skin growths and prevent the spread of malignancy.
When CPT Code 11620 is Used?
This code is applicable in various clinical scenarios.
- Presence of a malignant melanoma or non-melanoma skin cancer larger than 4.0 cm.
- Suspicion of skin cancer based on clinical examination.
- Need for complete excision to ensure clear margins and prevent recurrence.
Symptoms Indicating This Procedure
Patients may report several symptoms that warrant this procedure.
- A growing or changing mole or skin lesion.
- Itching, bleeding, or crusting of the lesion.
- Lesions that appear irregular in shape or color.
Causes and Risk Factors
Understanding the causes and risk factors can help in prevention.
- Excessive sun exposure leading to skin damage.
- Family history of skin cancer.
- Weakened immune system due to conditions or medications.
Diagnostic Tests Before Procedure
Certain tests may be conducted to confirm the diagnosis.
- Skin biopsy to determine the nature of the lesion.
- Imaging studies if deeper tissue involvement 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 surgical incision is made around the lesion.
- The lesion is excised along with a margin of healthy tissue.
- The wound is closed with sutures or adhesive strips.
Preparation for the Procedure
Patients should follow specific guidelines before 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 facility with a clean face and neck.
Recovery and Aftercare
Post-procedure care is crucial for healing.
- Keep the surgical site clean and dry.
- Follow up for suture removal as directed.
- Use prescribed pain relief medications if necessary.
Possible Complications
While generally safe, there are potential risks involved.
- Infection at the surgical site.
- Scarring or changes in skin pigmentation.
- Recurrence of the malignant lesion.
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Post-Procedure Follow-Up
Regular follow-up is essential for monitoring.
- Initial follow-up within 1-2 weeks for suture removal.
- Regular skin checks every 3-6 months for the first year.
Alternative Treatments
There are non-surgical options available.
- Topical chemotherapy for superficial skin cancers.
- Cryotherapy for small lesions.
- Photodynamic therapy for certain skin cancers.
Home Care Tips
Simple tips can aid in recovery.
- Avoid sun exposure on the healing area.
- Use sunscreen to protect the skin.
- Monitor for any signs of infection.
Patient Education & Prevention
Education is key to prevention and early detection.
- Regular skin checks for new or changing lesions.
- Use of sunscreen and protective clothing.
- Avoid tanning beds and excessive sun exposure.
Billing and Coding Information
CPT Code: 11620
Category: Surgical Procedures
Common Modifiers:
- 51 - Multiple procedures
- 59 - Distinct procedural service
Average Cost and Insurance Coverage
Costs can vary based on several factors.
- Average cost ranges from $1,500 to $3,000.
- Most insurance plans cover medically necessary excisions.
Related CPT Codes
- 11621 - Excision, malignant skin lesion, face, ears, scalp, neck; excised diameter over 4.0 cm.
- 11622 - Excision, malignant skin lesion, face, ears, scalp, neck; excised diameter over 4.0 cm
- 11623 - Excision, malignant skin lesion, face, ears, scalp, neck; excised diameter over 4.0 cm.
References and Sources
Frequently Asked Questions (FAQs)
What is the purpose of this procedure?
The procedure aims to remove malignant skin lesions to prevent cancer spread.
Will I need anesthesia?
Yes, local anesthesia is used to numb the area during the procedure.
How long is the recovery period?
Most patients recover within 1-2 weeks, depending on the extent of the excision.
