Overview of CPT Code 21180: Excision of benign lesion, face, ears, scalp, neck

Overview of CPT Code 21180: Excision of benign lesion, face, ears, scalp, neck

CPT Code 21180 refers to the surgical excision of benign lesions located on the face, ears, scalp, or neck. This procedure is typically performed to remove non-cancerous growths that may cause cosmetic concerns or discomfort.

When CPT Code 21180 is Used?

This code is applicable in various clinical scenarios.

• Presence of a benign lesion causing cosmetic concerns.
• Lesions that are symptomatic, such as causing irritation or discomfort.
• 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 lead to the consideration of this procedure.

• Visible growth on the skin that is changing in size or color.
• Itching or irritation at the site of the lesion.
• Bleeding or oozing from the lesion.
• Discomfort or pain associated with the lesion.

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.
• Previous skin injuries or infections.
• Certain skin conditions, such as seborrheic keratosis.

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 suspicion of malignancy.

Procedure Description

The excision procedure involves several key steps.

• Patient is positioned comfortably and the area is cleaned.
• Local anesthesia is administered to numb the area.
• The surgeon makes an incision around the lesion.
• The lesion is carefully excised along with a margin of healthy tissue.
• The incision is closed with sutures or adhesive strips.

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

Post-procedure care is crucial for optimal healing.

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

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 appointments are important for monitoring recovery.

• Schedule a follow-up visit within 1-2 weeks post-procedure.
• Review pathology results if a biopsy was performed.
• Assess healing and address any concerns.

Alternative Treatments

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

• Cryotherapy to freeze off the lesion.
• Laser therapy for targeted removal.
• Topical treatments for certain types of benign growths.

Home Care Tips

Simple home care can aid in recovery.

• Keep the excision site clean and dry.
• Avoid picking at scabs or lesions.
• Use sunscreen to protect the area from sun exposure.

Patient Education & Prevention

Educating patients can help prevent recurrence.

• Regular skin checks for new or changing lesions.
• Use of sunscreen to protect against UV damage.
• Avoiding excessive sun exposure, especially during peak hours.

Billing and Coding Information

CPT Code: 21180

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 Growths