Overview of CPT Code 11646: Excision, malignant skin lesion, face, ears, scalp, neck; excised diameter over 4.0 cm.
CPT Code 11646 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 11646 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 discomfort in the affected area.
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
Several tests may be conducted to confirm the need for excision.
- Skin biopsy to confirm malignancy.
- Imaging studies like ultrasound to assess lesion depth.
- Dermatoscopy for detailed examination of the lesion.
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.
- 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
Proper preparation is essential for a successful procedure.
- Avoid blood thinners like aspirin a week before the procedure.
- Discuss any allergies with your healthcare provider.
- Arrive with clean skin and avoid applying lotions or creams.
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 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 is important to monitor healing.
- Schedule a follow-up appointment within 1-2 weeks.
- Monitor for any signs of infection or complications.
- Discuss pathology results from the excised tissue.
Alternative Treatments
There are non-surgical options available.
- 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
Simple tips can aid in recovery.
- Avoid sun exposure on the healing area.
- Use gentle cleansers and avoid harsh scrubs.
- Stay hydrated and maintain a balanced diet.
Patient Education & Prevention
Education is key to prevention and early detection.
- Regular skin checks for new or changing lesions.
- Use sunscreen daily to protect against UV damage.
- Avoid tanning beds and excessive sun exposure.
Billing and Coding Information
CPT Code: 11646
Category: Surgical Procedures
Common Modifiers:
- -50
- -59
- -76
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.
- Check with your insurance provider for specific coverage details.
Related CPT Codes
- 11643 - Excision, malignant skin lesion, face, ears, scalp, neck; excised diameter over 4.0 cm.
- 11642 - Excision, malignant skin lesion, face, ears, scalp, neck; excised diameter over 4.0 cm.
- 11641 - 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 the procedure take?
The excision typically takes about 30 minutes to an hour.
Will there be scarring after the procedure?
Some scarring is possible, but techniques are used to minimize it.
How soon can I return to normal activities?
Most patients can resume normal activities within a week.
