Overview of CPT Code 15840: Excision of benign skin lesion, face, ears, scalp, neck

Overview of CPT Code 15840: Excision of benign skin lesion, face, ears, scalp, neck

CPT Code 15840 refers to the surgical excision of benign skin lesions located on the face, ears, scalp, or neck. This procedure is typically performed to remove lesions that are non-cancerous but may cause cosmetic concerns or discomfort.

When CPT Code 15840 is Used?

This code is applicable in various clinical scenarios.

• Removal of benign moles or nevi that are cosmetically undesirable.
• Excision of seborrheic keratosis that may be irritating or unsightly.
• Surgical intervention for dermatofibromas that are symptomatic.
• Excision of lipomas located on the face or neck.

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.
• Lesions that cause discomfort or irritation.
• Cosmetic concerns regarding the appearance of skin lesions.
• Itching or tenderness associated with the lesion.

Causes and Risk Factors

Understanding the causes and risk factors can help in prevention and early detection.

• 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 may be performed if malignancy is suspected.

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.
• A scalpel is used to excise the lesion along with a margin of healthy tissue.
• The wound is closed with sutures or adhesive strips.
• Dressing is applied to protect the area.

Preparation for the Procedure

Proper preparation can enhance the success of the procedure.

• Avoid blood thinners and certain medications as advised by the physician.
• Do not apply any creams or lotions to the lesion area prior to the procedure.
• Arrive at the appointment with a clean face and neck.

Recovery and Aftercare

Post-procedure care is crucial for optimal healing.

• Keep the area clean and dry for the first few days.
• Change the dressing as instructed by the healthcare provider.
• Avoid sun exposure on the healing area.
• Pain relief medications may be prescribed if necessary.

Possible Complications

While complications are rare, they can occur.

• Infection at the excision 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 is essential to monitor healing and address any concerns.

• Schedule a follow-up appointment within 1-2 weeks post-procedure.
• Monitor for signs of infection or complications.
• Discuss pathology results if a biopsy was performed.

Alternative Treatments

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

• Cryotherapy for freezing off lesions.
• Topical treatments for superficial skin lesions.
• Laser therapy for cosmetic improvement.

Home Care Tips

Simple home care can aid in recovery.

• Keep the excision site clean and dry.
• Avoid picking at scabs or the wound.
• Use sunscreen on the area once healed to prevent discoloration.

Patient Education & Prevention

Educating patients can help in prevention and early detection.

• Regular skin checks for new or changing lesions.
• Use of sunscreen to protect skin from UV damage.
• Awareness of family history of skin lesions or cancers.

Billing and Coding Information

CPT Code: 15840

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 the insurance plan.

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 Lesions