Overview of CPT Code 11900: Removal of skin lesion, excised
CPT Code 11900 refers to the excision of a skin lesion, which involves the surgical removal of a lesion from the skin for diagnostic or therapeutic purposes. This procedure is commonly performed by dermatologists and is essential for addressing various skin conditions.
When CPT Code 11900 is Used?
CPT Code 11900 is indicated in several clinical scenarios.
- Presence of a suspicious skin lesion that requires biopsy.
- Removal of benign skin lesions such as moles or cysts.
- Treatment of skin lesions causing discomfort or irritation.
- Lesions that are cosmetically unappealing to the patient.
Symptoms Indicating This Procedure
Patients may report various symptoms that lead to the consideration of this procedure.
- Changes in the appearance of a mole or skin lesion.
- Itching or irritation at the site of the lesion.
- Bleeding or oozing from the lesion.
- Pain or discomfort associated with the lesion.
Causes and Risk Factors
Several factors can contribute to the development of skin lesions.
- Sun exposure leading to skin damage.
- Genetic predisposition to skin conditions.
- Previous history of skin cancer.
- Certain skin types that are more prone to lesions.
Diagnostic Tests Before Procedure
Before proceeding with the excision, certain diagnostic tests may be performed.
- Physical examination of the lesion.
- Dermatoscopy to assess the lesion's characteristics.
- Biopsy of the lesion if malignancy is suspected.
Procedure Description
The procedure involves several key steps to ensure safe and effective removal.
- Patient is positioned comfortably and the area is cleaned.
- Local anesthesia is administered to numb the area.
- The lesion is excised using a scalpel or surgical instrument.
- The wound is closed with sutures or adhesive strips as needed.
- Post-procedure instructions are provided to the patient.
Preparation for the Procedure
Patients should follow specific guidelines to prepare for the excision.
- Avoid blood-thinning medications for a few days prior.
- Inform the doctor of any allergies or medical conditions.
- Arrive with clean skin, free of lotions or creams.
- Have a responsible adult accompany you for post-procedure care.
Recovery and Aftercare
Post-procedure recovery is crucial for healing.
- Keep the area clean and dry for the first few days.
- Change dressings as instructed by the healthcare provider.
- Avoid strenuous activities that may stress the wound.
- Monitor for signs of infection such as increased redness or swelling.
Possible Complications
While generally safe, there are potential risks associated with the procedure.
- Infection at the excision site.
- Excessive bleeding during or after the procedure.
- Scarring or changes in skin pigmentation.
- Recurrence of the lesion if not completely excised.
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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.
- Review pathology results if a biopsy was performed.
- Assess healing and address any concerns or complications.
Alternative Treatments
In some cases, non-surgical options may be considered.
- Cryotherapy for benign lesions.
- Topical treatments for superficial skin cancers.
- Laser therapy for certain types of skin lesions.
Home Care Tips
Patients can take steps at home to aid recovery.
- Keep the excision site clean and dry.
- Avoid picking at scabs or the wound.
- Use over-the-counter pain relief as needed.
- Stay hydrated and maintain a healthy diet to support healing.
Patient Education & Prevention
Educating patients on skin health is vital.
- Regularly check skin for new or changing lesions.
- Use sunscreen to protect skin from UV damage.
- Avoid tanning beds and excessive sun exposure.
- Consult a dermatologist for annual skin checks.
Billing and Coding Information
CPT Code: 11900
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 $200 to $1,000 depending on complexity.
- Most insurance plans cover the procedure if deemed medically necessary.
- Out-of-pocket costs may apply depending on the insurance policy.
Related CPT Codes
- 11100 - Biopsy of skin, single lesion
- 11400 - Excision, benign skin lesion, face, ears, scalp, neck; excised diameter over 4.0 cm.
- 12001 - Simple Repair of Laceration, Face, Ears, Eyelids, Nose
- 11901 - Removal of Implantable Contraceptive Device
References and Sources
Frequently Asked Questions (FAQs)
What is the purpose of the procedure?
The procedure is performed to remove suspicious or bothersome skin lesions.
Will I need stitches?
Yes, stitches may be required depending on the size of the excised lesion.
How long does the procedure take?
The procedure typically takes about 30 minutes to an hour.
Is the procedure painful?
Local anesthesia is used to minimize discomfort during the procedure.
