Overview of CPT Code 15845: Excision of benign skin lesion, face, ears, scalp

Overview of CPT Code 15845: Excision of benign skin lesion, face, ears, scalp

CPT Code 15845 refers to the surgical excision of a benign skin lesion located on the face, ears, or scalp. This procedure is performed to remove non-cancerous growths that may cause cosmetic concerns or discomfort.

When CPT Code 15845 is Used?

This code is applicable in various clinical scenarios.

• Presence of a benign skin lesion causing cosmetic concerns.
• Lesions that are symptomatic, such as itching or irritation.
• Lesions that have changed in appearance or size.
• Patient request for removal of a lesion for aesthetic reasons.

Symptoms Indicating This Procedure

Patients may report several symptoms that warrant this procedure.

• Visible growth on the skin that is changing in size or color.
• Itching or irritation at the site of the lesion.
• Bleeding or oozing from the lesion.
• Discomfort or pain 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.
• Previous skin injuries or infections.
• Certain skin conditions like seborrheic keratosis.

Diagnostic Tests Before Procedure

Certain tests may be conducted to confirm the diagnosis.

• 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 excises the lesion along with a margin of healthy tissue.
• The wound is closed with sutures or adhesive strips.
• Post-operative care instructions are provided.

Preparation for the Procedure

Proper preparation can enhance the procedure's success.

• Avoid blood thinners like aspirin before the procedure.
• Discuss any allergies with your healthcare provider.
• Arrive with clean skin, free of makeup or lotions.
• Have a responsible adult accompany you for post-procedure care.

Recovery and Aftercare

Recovery is generally straightforward with proper care.

• Wound healing typically takes 1-2 weeks.
• Keep the area clean and dry; follow specific wound care instructions.
• Avoid strenuous activities that may stress the wound.
• Watch for signs of infection such as increased redness or discharge.

Possible Complications

While complications are rare, they can occur.

• Infection at the site of excision.
• Scarring or changes in skin pigmentation.
• Recurrence of the lesion.
• Allergic reaction to anesthesia or topical medications.

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Post-Procedure Follow-Up

Follow-up is essential for monitoring recovery.

• Schedule a follow-up appointment within 1-2 weeks.
• Monitor the healing process and suture removal if necessary.
• Report any unusual symptoms or concerns to your healthcare provider.

Alternative Treatments

There are non-surgical options available.

• Cryotherapy to freeze and remove lesions.
• Topical treatments for superficial lesions.
• Laser therapy for certain types of skin lesions.

Home Care Tips

Simple home care can aid in recovery.

• Keep the excision site clean and dry.
• Apply any prescribed ointments as directed.
• Avoid picking at the scab or wound.
• Use sunscreen to protect the healing area from sun exposure.

Patient Education & Prevention

Education is key to preventing future lesions.

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

Billing and Coding Information

CPT Code: 15845

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.
• Check with your insurance provider for specific coverage details.

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

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