Overview of CPT Code 21346: Excision of benign lesion, face, ears, scalp, neck

Overview of CPT Code 21346: Excision of benign lesion, face, ears, scalp, neck

CPT Code 21346 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 discomfort, cosmetic concerns, or potential complications.

When CPT Code 21346 is Used?

This code is applicable in various clinical scenarios, including:

• Removal of benign tumors such as lipomas or seborrheic keratosis.
• Excision of cysts that are symptomatic or cosmetically undesirable.
• Management of skin tags or other benign lesions causing irritation.

Symptoms Indicating This Procedure

Patients may report the following symptoms that warrant this procedure:

• Visible growths on the skin that are changing in size or appearance.
• Discomfort or pain associated with the lesion.
• Irritation or bleeding from the lesion.

Causes and Risk Factors

Several factors can contribute to the development of benign lesions, including:

• Genetic predisposition to skin growths.
• Sun exposure leading to skin changes.
• Age-related skin changes.

Diagnostic Tests Before Procedure

Before proceeding with the excision, the following diagnostic tests may be conducted:

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

Procedure Description

The excision procedure typically follows these 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

Patients should follow these preparation steps:

• 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 recovery typically involves:

• Keeping the surgical site clean and dry.
• Changing dressings as instructed by the healthcare provider.
• Taking prescribed pain medications as needed.

Possible Complications

While generally safe, potential complications include:

• Infection at the surgical site.
• Scarring or changes in skin pigmentation.
• Recurrence of the lesion.

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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-surgery.
• Monitor for signs of infection or complications.
• Discuss pathology results if a biopsy was performed.

Alternative Treatments

Non-surgical options may include:

• Topical treatments for superficial lesions.
• Cryotherapy for certain benign growths.
• Laser therapy for cosmetic concerns.

Home Care Tips

Patients can follow these tips for effective home care:

• Avoid sun exposure on the healing area.
• Do not pick at scabs or sutures.
• Keep the area moisturized as advised.

Patient Education & Prevention

To prevent recurrence, patients should consider:

• Regular skin checks for new or changing lesions.
• Use of sunscreen to protect skin from UV damage.
• Healthy lifestyle choices to support skin health.

Billing and Coding Information

CPT Code: 21346

Category: Surgical Procedures

Common Modifiers:

• 50 - Bilateral procedure
• 59 - Distinct procedural service

Average Cost and Insurance Coverage

The cost for this procedure can vary widely:

• Average cost ranges from $200 to $1,500 depending on complexity.
• Most insurance plans cover excision of benign lesions if medically necessary.

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