Overview of CPT Code 21337: Excision of benign lesion, face, ears, scalp

Overview of CPT Code 21337: Excision of benign lesion, face, ears, scalp

CPT Code 21337 refers to the surgical excision of a benign lesion located on the face, ears, or scalp. This procedure is typically performed to remove non-cancerous growths that may cause cosmetic concerns or discomfort.

When CPT Code 21337 is Used?

This procedure is indicated in various clinical scenarios.

• Presence of a benign lesion causing cosmetic concerns.
• Lesions that are symptomatic, such as those 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 face, ears, or scalp.
• Itching or irritation at the site of the lesion.
• Bleeding or oozing from the lesion.
• Changes in color or size 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, 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 specific guidelines before the procedure.

• Avoid blood thinners for a week prior to the procedure.
• Inform the surgeon 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 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 site.
• Take prescribed pain medications as needed.

Possible Complications

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

• Infection at the excision site.
• Scarring or changes in skin texture.
• Bleeding during or after the procedure.
• 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.
• Monitor for signs of infection or unusual changes.
• Discuss pathology results if a biopsy was performed.

Alternative Treatments

There are non-surgical options for managing benign lesions.

• Topical treatments for superficial lesions.
• Cryotherapy to freeze off lesions.
• Laser therapy for certain types of skin growths.

Home Care Tips

Patients can take steps at home to aid recovery.

• Keep the excision site clean and dry.
• Avoid picking at scabs or lesions.
• Use sunscreen to protect the area from UV exposure.
• Stay hydrated and maintain a healthy diet.

Patient Education & Prevention

Educating patients can help prevent future lesions.

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

Billing and Coding Information

CPT Code: 21337

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

Related CPT Codes

• 21336 - Excision of benign 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.
• 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