Overview of CPT Code 21347: Removal of benign skin lesion, face

Overview of CPT Code 21347: Removal of benign skin lesion, face

CPT Code 21347 refers to the surgical removal of a benign skin lesion located on the face. This procedure is typically performed to eliminate growths that are non-cancerous and may cause cosmetic concerns or discomfort.

When CPT Code 21347 is Used?

This code is applicable 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 for aesthetic reasons.

Symptoms Indicating This Procedure

Patients may report several symptoms that warrant this procedure.

• Visible growth on the face that is bothersome.
• Itching or irritation at the site of the lesion.
• Changes in color, size, or shape of the lesion.
• Bleeding or oozing from 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 like seborrheic keratosis.

Diagnostic Tests Before Procedure

Certain tests may be conducted to confirm the diagnosis.

• Physical examination of the lesion.
• Dermatoscopy to assess the lesion's characteristics.
• Biopsy if there is uncertainty about the nature of the lesion.

Procedure Description

The 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 using a scalpel.
• 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 like aspirin a week prior.
• Inform the doctor of any allergies or medications.
• Arrive with a clean face, free of makeup or creams.
• 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.
• Apply prescribed ointment to promote healing.
• Avoid sun exposure on the healing site.
• Follow up with the doctor for suture removal if necessary.

Possible Complications

While generally safe, there are potential risks.

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

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Post-Procedure Follow-Up

Follow-up is essential for monitoring recovery.

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

Alternative Treatments

There are non-surgical options available.

• Cryotherapy to freeze the lesion.
• Laser therapy for superficial lesions.
• Topical treatments for certain benign conditions.

Home Care Tips

Simple tips can aid in recovery.

• Keep the area clean and avoid touching it.
• Use sunscreen to protect the healing skin.
• Stay hydrated and maintain a healthy diet.

Patient Education & Prevention

Education is key to preventing recurrence.

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

Billing and Coding Information

CPT Code: 21347

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 $1,000.
• Insurance may cover the procedure if deemed medically necessary.
• Out-of-pocket costs depend on the insurance plan.

Related CPT Codes

• 21345 - Repair of facial fracture
• 21346 - Excision of benign lesion, face, ears, scalp, neck
• 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