Overview of CPT Code 21336: Excision of benign skin lesion, face, ears, scalp

Overview of CPT Code 21336: Excision of benign skin lesion, face, ears, scalp

CPT Code 21336 refers to the surgical excision of a benign skin lesion located on the face, ears, or scalp. This procedure is performed to remove non-cancerous growths that may cause cosmetic concerns or discomfort.

When CPT Code 21336 is Used?

This procedure is indicated 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 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.

• Genetic predisposition to skin lesions.
• 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 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

Patients should follow these steps to prepare for the procedure.

• Avoid blood thinners and certain medications as advised by the physician.
• Do not apply any creams or lotions to the lesion area before the procedure.
• Arrive at the appointment with a clean face and scalp.

Recovery and Aftercare

Post-procedure recovery is crucial for healing.

• Keep the area clean and dry for the first few days.
• Change dressings as instructed by the healthcare provider.
• Avoid sun exposure on the healing area.
• Follow up for suture removal if applicable.

Possible Complications

While generally safe, there are potential risks associated with the procedure.

• Infection at the excision site.
• Scarring or changes in skin pigmentation.
• Recurrence of the lesion.
• Allergic reaction to anesthesia.

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Post-Procedure Follow-Up

Follow-up care is essential for monitoring recovery.

• Schedule a follow-up appointment within 1-2 weeks post-procedure.
• Monitor for signs of infection or complications.
• Discuss pathology results if a biopsy was performed.

Alternative Treatments

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

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

Home Care Tips

Patients can follow these tips for effective home care.

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

Patient Education & Prevention

Educating patients on prevention can help reduce recurrence.

• Regular skin checks for new or changing lesions.
• Use of sunscreen to protect against sun damage.
• Avoiding tanning beds and excessive sun exposure.

Billing and Coding Information

CPT Code: 21336

Category: Surgical Procedures

Common Modifiers:

• 50 - Bilateral procedure
• 59 - Distinct procedural service

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

• 11300 - Removal of skin lesion, excised, benign, face, ears, scalp, neck
• 11301 - Shaving of Skin Lesion, Face, Ears, 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.
• 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 Lesions