Overview of CPT Code 19112: Excision, benign skin lesion, face, ears, scalp, neck

Overview of CPT Code 19112: Excision, benign skin lesion, face, ears, scalp, neck

CPT Code 19112 refers to the surgical excision of a benign skin lesion located on the face, ears, scalp, or neck. This procedure is performed to remove non-cancerous growths that may cause cosmetic concerns or discomfort.

When CPT Code 19112 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 benign lesion for aesthetic reasons.

Symptoms Indicating This Procedure

Patients may report several symptoms that warrant this procedure.

• Visible growth on the skin that is raised or discolored.
• Itching or irritation at the site of the lesion.
• Bleeding or oozing from the lesion.
• Changes in the size or shape of 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

Diagnostic tests may be conducted to confirm the nature of the lesion.

• Physical examination by a dermatologist.
• Biopsy of the lesion if malignancy is suspected.
• Dermatoscopic examination to assess the lesion's characteristics.

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.
• Inform the doctor about any allergies or medications.
• Arrive with clean skin, free of lotions or makeup.
• Arrange for transportation if sedation is used.

Recovery and Aftercare

Recovery is generally straightforward with proper care.

• Keep the wound clean and dry for the first few days.
• Change dressings as instructed by the healthcare provider.
• Avoid strenuous activities for at least a week.
• Watch for signs of infection such as increased redness or pus.

Possible Complications

While complications are rare, they can occur.

• Infection at the site of the excision.
• 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 for monitoring recovery.

• Schedule a follow-up appointment within 1-2 weeks.
• Monitor the site for any unusual changes.
• Discuss pathology results if a biopsy was performed.
• Review wound healing and suture removal if applicable.

Alternative Treatments

There are non-surgical options available.

• Cryotherapy to freeze off the lesion.
• Laser therapy for superficial lesions.
• Topical treatments for certain benign skin conditions.

Home Care Tips

Simple home care can aid in recovery.

• Keep the area clean and avoid touching it.
• Use over-the-counter pain relief as needed.
• Apply a cold compress to reduce swelling.
• Follow all post-operative care instructions.

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.
• Maintain a healthy skin care routine.

Billing and Coding Information

CPT Code: 19112

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 $1,000.
• Insurance may cover the procedure if deemed medically necessary.
• Out-of-pocket costs depend on the insurance plan and deductible.

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.

References and Sources

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