Overview of CPT Code 15875: Excision of skin and subcutaneous tissue, face, ears, eyelids, scalp, neck

Overview of CPT Code 15875: Excision of skin and subcutaneous tissue, face, ears, eyelids, scalp, neck

CPT Code 15875 refers to the surgical excision of skin and subcutaneous tissue from areas such as the face, ears, eyelids, scalp, and neck. This procedure is typically performed to remove lesions, tumors, or other abnormal growths that may pose a risk to the patient's health or cosmetic appearance.

When CPT Code 15875 is Used?

This procedure is indicated in various clinical scenarios.

• Removal of malignant skin tumors or lesions.
• Excision of benign skin growths that are symptomatic or cosmetically concerning.
• Treatment of skin conditions that do not respond to conservative management.
• Surgical intervention for skin cancers to ensure clear margins.

Symptoms Indicating This Procedure

Patients may present with several symptoms that warrant this procedure.

• Visible skin lesions or growths that change in size or color.
• Persistent itching or pain in the affected area.
• Bleeding or oozing from a skin lesion.
• Cosmetic concerns regarding facial or neck appearance.

Causes and Risk Factors

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

• Excessive sun exposure leading to skin damage.
• Family history of skin cancer.
• Previous skin lesions or cancers.
• Weakened immune system due to medical conditions or medications.

Diagnostic Tests Before Procedure

Certain tests may be conducted to confirm the need for excision.

• Skin biopsy to determine the nature of the lesion.
• Imaging studies such as ultrasound if deeper tissue involvement is suspected.
• Dermatoscopy for detailed examination of skin lesions.

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 surgical incision is made around the lesion to excise it along with a margin of healthy tissue.
• The excised tissue is sent for pathological examination.
• The incision is closed with sutures or adhesive strips.

Preparation for the Procedure

Proper preparation is essential for a successful procedure.

• Avoid blood-thinning medications for a week prior to the procedure.
• Discuss any allergies or medical conditions with the healthcare provider.
• Arrive with clean skin and avoid applying lotions or makeup on the day of the procedure.
• Arrange for transportation if sedation is used.

Recovery and Aftercare

Post-procedure care is crucial for healing.

• Expect some swelling and discomfort; ice packs can help.
• Keep the incision site clean and dry; follow specific wound care instructions.
• Avoid strenuous activities for at least a week.
• Attend follow-up appointments for suture removal and monitoring.

Possible Complications

While complications are rare, they can occur.

• Infection at the incision site.
• Excessive bleeding during or after the procedure.
• Scarring or changes in skin pigmentation.
• Recurrence of the lesion if not completely excised.

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Post-Procedure Follow-Up

Follow-up is important to ensure proper healing.

• Schedule a follow-up appointment within 1-2 weeks post-procedure.
• Monitor for signs of infection or complications.
• Discuss pathology results and any further treatment if necessary.

Alternative Treatments

There are non-surgical options available for some conditions.

• Topical treatments for superficial skin lesions.
• Cryotherapy for benign growths.
• Laser therapy for certain skin conditions.
• Medications for inflammatory skin diseases.

Home Care Tips

Simple home care can aid in recovery.

• Keep the area clean and dry.
• Use over-the-counter pain relievers as needed.
• Avoid sun exposure on the healing area.
• Follow all post-operative instructions provided by your healthcare provider.

Patient Education & Prevention

Education is key to preventing skin issues.

• Regular skin checks for new or changing lesions.
• Use sunscreen to protect skin from UV damage.
• Avoid tanning beds and excessive sun exposure.
• Maintain a healthy lifestyle to support skin health.

Billing and Coding Information

CPT Code: 15875

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 $500 to $2,000 depending on complexity.
• Insurance may 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.
• 11600 - Excision, malignant 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
• 11606 - Excision, malignant skin lesion, face, ears, scalp, neck; excised diameter over 4.0 cm.
• 12001 - Simple Repair of Laceration, Face, Ears, Eyelids, Nose

References and Sources

• American Academy of Dermatology
• National Cancer Institute
• Mayo Clinic - Skin Cancer