Overview of CPT Code 21123: Removal of benign lesion of the face, ears, scalp, neck

Overview of CPT Code 21123: Removal of benign lesion of the face, ears, scalp, neck

CPT Code 21123 refers to the surgical removal of benign lesions located on the face, ears, scalp, or neck. This procedure is typically performed to eliminate growths that may be unsightly or cause discomfort.

When CPT Code 21123 is Used?

This code is applicable in various clinical scenarios.

• Presence of benign tumors such as lipomas or seborrheic keratosis.
• Lesions causing pain or discomfort.
• Cosmetic concerns regarding the appearance of facial or neck lesions.
• Lesions that are changing in size or color, warranting removal.

Symptoms Indicating This Procedure

Patients may report several symptoms that lead to the consideration of this procedure.

• Visible growths on the skin that are raised or discolored.
• Itching or irritation around the lesion.
• Pain or tenderness in the area of the lesion.
• Changes in the lesion's appearance over time.

Causes and Risk Factors

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

• Genetic predisposition to skin growths.
• Sun exposure leading to skin changes.
• Age-related skin changes.
• Previous skin injuries or infections.

Diagnostic Tests Before Procedure

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

• Physical examination of the lesion.
• Dermatoscopy to assess the characteristics of the lesion.
• Biopsy if malignancy is suspected.

Procedure Description

The procedure involves several key steps to ensure safe and effective removal.

• Patient is positioned comfortably and the area is cleaned.
• Local anesthesia is administered to numb the area.
• The surgeon excises the lesion using a scalpel or other surgical instruments.
• The wound is closed with sutures or adhesive strips as necessary.
• Post-operative care instructions are provided.

Preparation for the Procedure

Proper preparation can enhance the success of the procedure.

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

Recovery and Aftercare

Recovery is generally straightforward, but care is essential.

• Expected recovery period is typically 1-2 weeks.
• Keep the area clean and dry; follow wound care instructions.
• Pain relief medications may be prescribed as needed.
• Watch 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 texture.
• Bleeding or hematoma formation.
• Recurrence of the lesion.

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Post-Procedure Follow-Up

Follow-up is crucial for monitoring recovery.

• Typically scheduled 1-2 weeks post-procedure.
• Assessment of healing and removal of sutures if applicable.
• Discussion of pathology results if a biopsy was performed.

Alternative Treatments

There are non-surgical options available for managing benign lesions.

• Cryotherapy to freeze off the lesion.
• Topical treatments for superficial lesions.
• Laser therapy for cosmetic concerns.

Home Care Tips

Simple home care can aid in recovery.

• Keep the area clean and avoid touching it.
• Apply any prescribed ointments as directed.
• Avoid sun exposure on the healing area.

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.
• Maintain a healthy lifestyle to support skin health.

Billing and Coding Information

CPT Code: 21123

Category: Surgical Procedures

Common Modifiers:

• -50
• -51
• -59

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.

Related CPT Codes

• 21122 - Removal of benign tumor, face or scalp
• 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.

References and Sources

• American Academy of Dermatology
• Mayo Clinic - Skin Lesions