Overview of CPT Code 21339: Excision of benign lesion, face, ears, scalp, neck

Overview of CPT Code 21339: Excision of benign lesion, face, ears, scalp, neck

CPT Code 21339 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 21339 is Used?

This procedure is indicated 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.
• Need for histological examination of the lesion.

Symptoms Indicating This Procedure

Patients may report several symptoms that warrant this procedure.

• Visible growth on the face, ears, scalp, or neck.
• Itching or irritation at the site of the lesion.
• Bleeding or oozing from the lesion.
• Changes in color or texture of the lesion.

Causes and Risk Factors

Several factors can contribute to the development of benign lesions.

• Genetic predisposition to skin growths.
• Sun exposure leading to skin changes.
• Hormonal changes affecting skin health.
• Previous skin injuries or infections.

Diagnostic Tests Before Procedure

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

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

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.
• 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

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 medications.
• Arrive with clean skin, free of makeup or lotions.
• Arrange for transportation post-procedure if sedation is used.

Recovery and Aftercare

Post-procedure care is crucial for optimal healing.

• Keep the surgical site clean and dry.
• Change dressings 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 surgical site.
• Scarring or changes in skin pigmentation.
• Bleeding or hematoma formation.
• Recurrence of the lesion.

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Post-Procedure Follow-Up

Follow-up appointments are essential for monitoring recovery.

• Initial follow-up within one week to check the incision.
• Suture removal typically occurs within 7-14 days.
• Further follow-ups as needed based on healing and pathology results.

Alternative Treatments

Non-surgical options may be considered in some cases.

• Cryotherapy to freeze and remove lesions.
• Laser therapy for superficial lesions.
• Topical treatments for certain benign skin conditions.

Home Care Tips

Patients can follow these tips for better recovery.

• Keep the area moisturized with recommended ointments.
• Avoid sun exposure on the healing site.
• Monitor for signs of infection, such as increased redness or pus.
• Follow all post-operative instructions provided by the healthcare team.

Patient Education & Prevention

Educating patients can help prevent 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.
• Report any new growths or changes to a healthcare provider promptly.

Billing and Coding Information

CPT Code: 21339

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 based on individual insurance plans.

Related CPT Codes

• 21336 - Excision of benign skin lesion, face, ears, scalp
• 21337 - Excision of benign 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.

References and Sources

• American Academy of Dermatology
• Mayo Clinic - Skin Lesions
• Cleveland Clinic - Skin Growths