Overview of CPT Code 11642: Excision, malignant skin lesion, face, ears, scalp, neck; excised diameter over 4.0 cm.
CPT Code 11642 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 11642 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 or color.
- Bleeding or oozing from the lesion.
- Itching or discomfort 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.
- History of skin cancer in the patient or family.
- Weakened immune system due to conditions like HIV or medications.
Diagnostic Tests Before Procedure
Certain tests may be conducted to confirm the need for excision.
- Skin biopsy to confirm malignancy.
- Imaging studies like ultrasound to assess lesion depth.
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 lesion 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 like aspirin for a week prior.
- Inform the doctor of any allergies or medications.
- Arrive with clean skin and avoid applying lotions or makeup.
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.
- Take prescribed pain medications as needed.
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
Follow-up appointments are essential for monitoring.
- Schedule a follow-up visit within 1-2 weeks post-surgery.
- Monitor for signs of infection or complications.
- Discuss pathology results and further treatment if necessary.
Alternative Treatments
There are non-surgical options available for some patients.
- 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 take steps at home to aid recovery.
- Avoid sun exposure on the healing area.
- Use gentle cleansers and moisturizers.
- Follow all post-operative care instructions provided.
Patient Education & Prevention
Education is key to preventing skin cancer.
- Regular skin checks for new or changing lesions.
- Use sunscreen with a high SPF to protect skin.
- Avoid tanning beds and excessive sun exposure.
Billing and Coding Information
CPT Code: 11642
Category: Surgical Procedures
Common Modifiers:
- 50 (bilateral procedure)
- 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 excision of malignant lesions.
- Check with your insurance provider for specific coverage details.
Related CPT Codes
- 11641 - Excision, malignant skin lesion, face, ears, scalp, neck; excised diameter over 4.0 cm.
- 11643 - 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
References and Sources
Frequently Asked Questions (FAQs)
What should I expect during the procedure?
You will receive local anesthesia, and the procedure typically lasts about 30 minutes.
How long is the recovery period?
Most patients recover within 1-2 weeks, depending on the size of the excision.
Will there be scarring after the procedure?
Some scarring is possible, but your doctor will take steps to minimize it.
