Overview of CPT Code 15851: Excision of excessive skin and subcutaneous tissue, face, ears, eyelids, scalp, neck, hands, feet, genitalia
CPT Code 15851 refers to the surgical procedure for excising excessive skin and subcutaneous tissue from various areas of the body, including the face, ears, eyelids, scalp, neck, hands, feet, and genitalia. This procedure is often performed to improve appearance, remove lesions, or address functional issues caused by excess skin.
When CPT Code 15851 is Used?
This procedure is indicated in several clinical scenarios.
- Removal of excess skin due to significant weight loss.
- Correction of skin laxity in aging patients.
- Excision of large skin lesions or tumors.
- Treatment of skin conditions causing functional impairment.
Symptoms Indicating This Procedure
Patients may report various symptoms that lead to the consideration of this procedure.
- Visible sagging or excess skin in targeted areas.
- Discomfort or irritation caused by folds of skin.
- Functional limitations due to excessive skin.
- Cosmetic concerns regarding skin appearance.
Causes and Risk Factors
Several factors can contribute to the need for this procedure.
- Significant weight loss resulting in excess skin.
- Aging, leading to loss of skin elasticity.
- Genetic predisposition to skin laxity.
- Chronic skin conditions or previous surgeries.
Diagnostic Tests Before Procedure
Certain tests may be conducted to ensure the appropriateness of the procedure.
- Physical examination to assess skin condition.
- Imaging studies if deeper tissue involvement is suspected.
- Biopsy of any suspicious lesions prior to excision.
Procedure Description
The procedure involves several key steps.
- Patient is positioned comfortably and anesthetized.
- The area of excess skin is marked for excision.
- Incisions are made to remove the excess skin and subcutaneous tissue.
- The area is closed with sutures or staples.
- Dressing is applied to protect the surgical site.
Preparation for the Procedure
Patients should follow specific guidelines before the procedure.
- Consult with the surgeon about medications to avoid.
- Arrange for transportation to and from the procedure.
- Follow fasting instructions if general anesthesia is used.
- Discuss any allergies or medical conditions with the healthcare provider.
Recovery and Aftercare
Post-operative care is crucial for recovery.
- Rest for the first few days post-surgery.
- Keep the surgical site clean and dry.
- Follow-up appointments to monitor healing.
- Pain management with prescribed medications as needed.
Possible Complications
As with any surgical procedure, there are potential risks.
- Infection at the surgical site.
- Scarring or changes in skin sensation.
- Delayed healing or wound dehiscence.
- Allergic reactions to anesthesia or medications.
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Post-Procedure Follow-Up
Regular follow-up is essential for optimal recovery.
- Initial follow-up within one week to check sutures.
- Subsequent visits as directed by the surgeon.
- Monitoring for any signs of complications.
Alternative Treatments
There are non-surgical options available.
- Dermal fillers to address volume loss.
- Laser treatments for skin tightening.
- Topical treatments for skin laxity.
- Physical therapy for functional improvement.
Home Care Tips
Patients can take steps at home to aid recovery.
- Avoid strenuous activities for a few weeks.
- Keep the surgical area moisturized as advised.
- Use sun protection on healing skin.
- Stay hydrated and maintain a balanced diet.
Patient Education & Prevention
Understanding prevention can help avoid recurrence.
- Maintain a healthy weight to prevent excess skin.
- Stay hydrated to support skin elasticity.
- Consider regular skin care routines.
- Consult a dermatologist for skin concerns.
Billing and Coding Information
CPT Code: 15851
Category: Surgical Procedures
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 $2,000 to $5,000.
- Insurance may cover the procedure if deemed medically necessary.
- Out-of-pocket costs depend on the insurance plan.
Related CPT Codes
- 15830 - Blepharoplasty, upper eyelid
- 15832 - Removal of Excess Skin from Eyelid
- 15836 - Chemical Peel, Face
- 15838 - Excision of benign skin lesion, face, ears, scalp
- 15839 - Removal of excessive skin and subcutaneous tissue, face
- 15840 - Excision of benign skin lesion, face, ears, scalp, neck
- 15841 - Blepharoplasty, upper eyelid, bilateral
References and Sources
Frequently Asked Questions (FAQs)
What is CPT Code 15851?
It refers to the excision of excessive skin and subcutaneous tissue from various body areas.
Is this procedure painful?
Anesthesia is used to minimize pain during the procedure, and post-operative pain can be managed with medication.
How long is the recovery period?
Recovery typically takes a few weeks, but it varies based on individual healing.
Will there be scarring?
Some scarring is possible, but techniques are used to minimize it.
Is this procedure covered by insurance?
Insurance may cover it if deemed medically necessary; check with your provider.
