Overview of CPT Code 15854: Excision of benign skin lesion, face, ears, eyelids, scalp

Overview of CPT Code 15854: Excision of benign skin lesion, face, ears, eyelids, scalp

CPT Code 15854 refers to the surgical excision of benign skin lesions located on the face, ears, eyelids, or scalp. This procedure is performed to remove non-cancerous growths that may cause cosmetic concerns or discomfort.

When CPT Code 15854 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 lipomas located on the face or scalp.
• Excision of cysts that are causing discomfort or are at risk of infection.

Symptoms Indicating This Procedure

Patients may present with various symptoms prompting the need for excision.

• Visible growths on the skin that are changing in size or color.
• Itching or irritation associated with the lesion.
• Pain or discomfort in the area of the lesion.
• Bleeding or oozing from 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 resulting in benign growths.
• 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 by a dermatologist.
• 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.
• The surgeon excises the lesion along with a margin of healthy tissue.
• The wound is closed with sutures or adhesive strips.
• Post-operative instructions are provided to the patient.

Preparation for the Procedure

Proper preparation is essential for a smooth procedure.

• Avoid blood thinners and certain medications as advised by the physician.
• Arrive at the facility with clean skin, free of lotions or makeup.
• Discuss any allergies or medical conditions with the healthcare provider.

Recovery and Aftercare

Post-procedure care is crucial for healing.

• Keep the surgical site clean and dry.
• Change dressings as instructed by the healthcare provider.
• Avoid strenuous activities for a few days.
• Monitor for signs of infection such as increased redness or discharge.

Possible Complications

While complications are rare, they can occur.

• Infection at the surgical site.
• Scarring or changes in skin pigmentation.
• Delayed healing of the wound.
• Recurrence of the lesion.

Secure, compliant, and built for trust

HIPAA-compliant and designed with privacy in mind, your patient’s data is protected. Focus on care while we safeguard your information.

Learn more

Post-Procedure Follow-Up

Follow-up is important to ensure proper healing.

• Schedule a follow-up appointment within 1-2 weeks post-surgery.
• Monitor the surgical site for any unusual changes.
• Discuss pathology results if a biopsy was performed.

Alternative Treatments

Non-surgical options may be considered in some cases.

• Topical treatments for superficial skin lesions.
• Cryotherapy for certain benign growths.
• Laser therapy for cosmetic concerns.

Home Care Tips

Simple home care can aid in recovery.

• Keep the area clean and avoid touching it unnecessarily.
• Use over-the-counter pain relief as needed.
• Apply ice packs to reduce swelling if necessary.

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 excessive sun exposure, especially during peak hours.

Billing and Coding Information

CPT Code: 15854

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 $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.
• 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