Overview of CPT Code 11626: Excision, malignant skin lesion, face, ears, scalp, neck; excised diameter over 4.0 cm.
CPT Code 11626 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 typically performed to remove cancerous growths and prevent the spread of malignancy.
When CPT Code 11626 is Used?
This code is applicable in various clinical scenarios.
- Presence of a malignant skin lesion larger than 4.0 cm.
- Lesions that have been confirmed as cancerous through biopsy.
- Lesions located on cosmetically sensitive areas such as the face or neck.
Symptoms Indicating This Procedure
Patients may report several symptoms that necessitate this procedure.
- Visible growth on the skin that changes in size, shape, or color.
- Bleeding or oozing from the lesion.
- Itching or pain in the area of the lesion.
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 like HIV or medications.
Diagnostic Tests Before Procedure
Several tests may be conducted to confirm the diagnosis.
- Skin biopsy to confirm malignancy.
- Imaging studies like ultrasound or CT scan to assess the extent of the lesion.
Procedure Description
The excision procedure involves several key steps.
- Patient is positioned comfortably and the area is cleaned.
- Local anesthesia is administered to numb the area.
- The surgeon excises the malignant lesion along with a margin of healthy tissue.
- The wound is closed with sutures or staples, and a dressing is applied.
Preparation for the Procedure
Proper preparation is essential for a successful procedure.
- Avoid blood thinners like aspirin or ibuprofen a week prior.
- Discuss any allergies or medications with your healthcare provider.
- Arrange for transportation post-procedure if sedation is used.
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.
- Monitor for signs of infection such as increased redness or discharge.
Possible Complications
While complications are rare, they can occur.
- Infection at the surgical site.
- Scarring or changes in skin texture.
- Recurrence of the malignant lesion.
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Post-Procedure Follow-Up
Follow-up appointments are important for monitoring.
- Schedule a follow-up visit within 1-2 weeks to check healing.
- Regular skin checks to monitor for new lesions or changes.
Alternative Treatments
There are non-surgical options available.
- Topical chemotherapy for superficial skin cancers.
- Cryotherapy to freeze off small lesions.
Home Care Tips
Simple tips can aid in recovery.
- Avoid sun exposure on the surgical site until healed.
- Use gentle cleansers and moisturizers as needed.
- Follow all post-operative instructions from your healthcare provider.
Patient Education & Prevention
Education is key to prevention and early detection.
- Regular skin checks for new or changing lesions.
- Use sunscreen to protect against UV damage.
- Avoid tanning beds and excessive sun exposure.
Billing and Coding Information
CPT Code: 11626
Category: Surgical Procedures
Common Modifiers:
- -50
- -RT
- -LT
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 the procedure if deemed medically necessary.
Related CPT Codes
- 11624 - Excision, malignant skin lesion, face, ears, scalp, neck; excised diameter over 4.0 cm.
- 11620 - 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.
How long does recovery take?
Recovery typically takes 1 to 2 weeks, depending on the individual.
Will there be scarring?
Some scarring is possible, but techniques are used to minimize it.
