Overview of CPT Code 21120: Excision of benign lesion of the face or scalp

Overview of CPT Code 21120: Excision of benign lesion of the face or scalp

CPT Code 21120 refers to the surgical excision of a benign lesion located on the face or scalp. This procedure is typically performed to remove growths that are non-cancerous but may cause cosmetic concerns or discomfort.

When CPT Code 21120 is Used?

This code is applicable in various clinical scenarios.

• Removal of a benign tumor or cyst on the face or scalp.
• Excision of a lipoma that is causing discomfort or cosmetic issues.
• Surgical intervention for a dermatofibroma that is symptomatic.
• Excision of a seborrheic keratosis that is bothersome to the patient.

Symptoms Indicating This Procedure

Patients may report several symptoms that lead to the decision for excision.

• Visible growth on the face or scalp that is increasing in size.
• Pain or tenderness associated with the lesion.
• Itching or irritation 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 growths.
• Sun exposure leading to skin changes.
• Previous skin injuries or trauma.
• Certain skin conditions that promote benign growths.

Diagnostic Tests Before Procedure

Before the excision, certain diagnostic tests may be performed.

• Physical examination of the lesion.
• Dermatoscopy to assess the characteristics of the lesion.
• Biopsy if there is uncertainty about the nature of the lesion.

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 scalpel is used to excise 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

Patients should follow specific guidelines before the procedure.

• Avoid blood thinners such as aspirin or ibuprofen for a week prior.
• Inform the doctor of any allergies or medical conditions.
• Arrive with clean skin, free of makeup or lotions.
• Arrange for transportation if sedation is used.

Recovery and Aftercare

Post-procedure care is crucial for healing.

• Keep the area clean and dry for the first few days.
• Change the dressing as instructed by the healthcare provider.
• Avoid strenuous activities for at least a week.
• Take prescribed pain medications as needed.

Possible Complications

While generally safe, there are potential risks involved.

• 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.

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

Home Care Tips

Simple tips can aid in recovery.

• Keep the excision site clean and dry.
• Avoid picking at scabs or the wound.
• Use sunscreen on the area once healed to prevent discoloration.
• Stay hydrated and maintain a balanced diet to support healing.

Patient Education & Prevention

Education is key to preventing recurrence.

• Regular skin checks for new or changing lesions.
• Use sunscreen to protect skin from UV damage.
• Avoid excessive sun exposure, especially during peak hours.
• Consult a dermatologist for any concerns about skin growths.

Billing and Coding Information

CPT Code: 21120

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 depending on the insurance policy.

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.
• 11600 - Excision, malignant skin lesion, face, ears, scalp, neck; excised diameter over 4.0 cm.
• 11601 - Excision, malignant skin lesion, face, ears, scalp, neck; excised diameter over 4.0 cm.
• 11602 - Excision, malignant 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 Growths