Overview of CPT Code 15828: Excision of benign skin lesion
CPT Code 15828 refers to the surgical excision of a benign skin lesion, which is a non-cancerous growth on the skin. This procedure is performed to remove lesions that may cause discomfort, cosmetic concerns, or have the potential for changes that could lead to malignancy.
When CPT Code 15828 is Used?
This code is applicable in various clinical scenarios.
- Removal of a benign mole that is causing irritation or discomfort.
- Excision of a dermatofibroma that is unsightly or bothersome.
- Surgical removal of a seborrheic keratosis that is changing in appearance.
- Excision of a lipoma that is growing or causing pressure on surrounding tissues.
Symptoms Indicating This Procedure
Patients may report various symptoms that lead to the decision for excision.
- Itching or irritation at the site of the lesion.
- Changes in the color or size of the lesion.
- Bleeding or oozing from the lesion.
- Pain or discomfort associated with 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.
- Previous skin injuries or trauma.
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 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 makes an incision around the lesion.
- The lesion is carefully excised along with a margin of healthy tissue.
- The incision is closed with sutures or adhesive strips.
Preparation for the Procedure
Proper preparation can enhance the success of the procedure.
- Avoid blood thinners for a week prior to the procedure.
- Inform the doctor of any allergies or medications.
- Arrive with clean skin, free of lotions or creams.
- Arrange for transportation if sedation is used.
Recovery and Aftercare
Post-procedure care 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 for at least a week.
- Take prescribed pain medications as needed.
Possible Complications
While complications are rare, they can occur.
- Infection at the site of excision.
- Excessive bleeding during or after the procedure.
- Scarring or changes in skin pigmentation.
- Recurrence of the lesion.
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Post-Procedure Follow-Up
Follow-up is essential to monitor healing.
- Schedule a follow-up appointment within 1-2 weeks.
- Monitor for signs of infection or complications.
- Discuss pathology results if a biopsy was performed.
Alternative Treatments
There are non-surgical options available.
- Cryotherapy for superficial lesions.
- Topical treatments for certain benign skin conditions.
- Laser therapy for cosmetic concerns.
Home Care Tips
Simple home care can aid in recovery.
- Keep the excision site clean and dry.
- Avoid picking at scabs or the incision.
- Use sunscreen on the area once healed to prevent discoloration.
- Stay hydrated and maintain a healthy diet to support healing.
Patient Education & Prevention
Education is key to preventing future lesions.
- Regular skin checks for new or changing lesions.
- Use sunscreen to protect skin from UV damage.
- Avoid tanning beds and excessive sun exposure.
- Report any changes in existing skin lesions to a healthcare provider.
Billing and Coding Information
CPT Code: 15828
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 excision of benign lesions.
- Out-of-pocket costs may apply depending on the deductible.
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.
- 11404 - Excision, benign skin lesion, face, ears, scalp; excised diameter over 4.0 cm.
References and Sources
Frequently Asked Questions (FAQs)
What is a benign skin lesion?
A benign skin lesion is a non-cancerous growth on the skin that does not pose a health risk.
Is the excision procedure painful?
Local anesthesia is used to minimize pain during the procedure.
How long does recovery take?
Most patients recover within 1-2 weeks, depending on the size and location of the excision.
Will there be a scar after the procedure?
There may be a scar, but it typically fades over time.
