Overview of CPT Code 15847: Excision of benign skin lesion, face, ears, scalp, neck

Overview of CPT Code 15847: Excision of benign skin lesion, face, ears, scalp, neck

CPT Code 15847 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 15847 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 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 facial or neck 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.
• History of skin trauma or irritation.

Diagnostic Tests Before Procedure

Certain tests may be conducted to confirm the diagnosis before 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 involves several key steps.

• 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.
• Dressing is applied to protect the area.

Preparation for the Procedure

Proper preparation can enhance the success of the procedure.

• Avoid blood thinners like aspirin or ibuprofen prior to the procedure.
• Discuss any allergies with your healthcare provider.
• Arrive with clean skin, free of lotions or makeup.
• Follow any specific instructions provided by your surgeon.

Recovery and Aftercare

Post-procedure care is crucial for optimal healing.

• Expect some swelling and tenderness at the excision site.
• Keep the area clean and dry; follow wound care instructions.
• Avoid strenuous activities for a few days.
• Take prescribed pain medications as needed.

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.

• 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 for managing benign skin 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 excision site clean and dry.
• Avoid picking at scabs or sutures.
• Use sunscreen on the area once healed to prevent discoloration.
• Stay hydrated and maintain a healthy diet to support healing.

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 tanning beds and excessive sun exposure.
• Consult a dermatologist for any concerns about skin changes.

Billing and Coding Information

CPT Code: 15847

Category: Surgery

Common Modifiers:

• 50 - Bilateral procedure
• RT - Right side
• LT - Left side

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.
• 11406 - 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.

References and Sources

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