Overview of CPT Code 15824: Excision of benign skin lesion, face, ears, scalp

Overview of CPT Code 15824: Excision of benign skin lesion, face, ears, scalp

CPT Code 15824 refers to the surgical excision of benign skin lesions located on the face, ears, or scalp. This procedure is typically performed to remove lesions that are non-cancerous but may cause cosmetic concerns or discomfort.

When CPT Code 15824 is Used?

This code is applicable in various clinical scenarios.

• Removal of benign moles or nevi that are cosmetically unappealing.
• Excision of seborrheic keratosis that may be irritated or inflamed.
• Surgical intervention for dermatofibromas that are symptomatic.
• Excision of lipomas located on the face or scalp.

Symptoms Indicating This Procedure

Patients may report several symptoms that lead to the consideration of this procedure.

• Visible skin lesions that are growing or changing in appearance.
• Itching or irritation associated with the lesion.
• Bleeding or oozing from the lesion.
• Discomfort or pain in the area of the lesion.

Causes and Risk Factors

Understanding the causes and risk factors can help in prevention.

• Genetic predisposition to skin lesions.
• Sun exposure leading to skin changes.
• Age-related skin changes.
• History of skin trauma or irritation.

Diagnostic Tests Before Procedure

Certain tests may be conducted to confirm the need for excision.

• Physical examination of the lesion.
• Dermatoscopy to assess the characteristics of the lesion.
• Biopsy if there is any suspicion of malignancy.

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.
• Post-operative instructions are provided to the patient.

Preparation for the Procedure

Patients should follow specific guidelines before the procedure.

• Avoid blood thinners for a week prior to the procedure.
• Inform the surgeon of any allergies or medical conditions.
• Arrive with clean skin, free of lotions or makeup.
• Arrange for transportation if sedation is used.

Recovery and Aftercare

Post-procedure care is crucial for optimal healing.

• Keep the surgical site clean and dry.
• Change dressings as instructed by the healthcare provider.
• Avoid strenuous activities for at least a week.
• Monitor for signs of infection such as increased redness or discharge.

Possible Complications

While generally safe, there are potential risks involved.

• Infection at the surgical site.
• Scarring or changes in skin pigmentation.
• Delayed healing of the wound.
• Recurrence of the lesion.

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Post-Procedure Follow-Up

Follow-up appointments are essential for monitoring recovery.

• Initial follow-up within one week to assess healing.
• Suture removal if applicable, typically within 7-14 days.
• Long-term follow-up for monitoring any recurrence.

Alternative Treatments

There are non-surgical options available for managing benign lesions.

• Cryotherapy for superficial lesions.
• Topical treatments for certain skin conditions.
• Laser therapy for cosmetic concerns.

Home Care Tips

Simple home care can aid in recovery.

• Keep the area clean and avoid touching it.
• Use over-the-counter pain relief as needed.
• Apply ice packs to reduce swelling if necessary.
• Follow all post-operative instructions carefully.

Patient Education & Prevention

Educating patients can help prevent future lesions.

• Regular skin checks for new or changing lesions.
• Use sunscreen to protect skin from UV damage.
• Avoid excessive sun exposure, especially during peak hours.
• Maintain a healthy skin care routine.

Billing and Coding Information

CPT Code: 15824

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 $1,500 depending on complexity.
• Most insurance plans cover the procedure if deemed medically necessary.
• Out-of-pocket costs may apply based on individual insurance plans.

Related CPT Codes

• 11400 - Excision, benign skin lesion, face, ears, scalp, neck; excised diameter over 4.0 cm.
• 11401 - Excision, benign skin lesion, face, ears, scalp, neck; excised diameter over 4.0 cm.
• 11402 - Excision, benign skin lesion, face, ears, scalp, neck; excised diameter over 4.0 cm.
• 11403 - Excision, benign skin lesion, face, ears, scalp; excised diameter over 4.0 cm.
• 11406 - Excision, benign skin lesion; face, ears, scalp, neck, excised diameter over 4.0 cm

References and Sources

• American Academy of Dermatology
• Mayo Clinic - Skin Lesions
• Cleveland Clinic - Skin Lesion Removal