Overview of CPT Code 21348: Excision of benign lesion, face

Overview of CPT Code 21348: Excision of benign lesion, face

CPT Code 21348 refers to the surgical excision of a benign lesion located on the face. This procedure is performed to remove non-cancerous growths that may cause cosmetic concerns or discomfort.

When CPT Code 21348 is Used?

This code is applicable in various clinical scenarios.

• Presence of a benign tumor on the face causing cosmetic concerns.
• Benign lesions that are symptomatic, such as causing irritation or discomfort.
• Lesions that have changed in appearance and require histological examination.

Symptoms Indicating This Procedure

Patients may report several symptoms that lead to the consideration of this procedure.

• Visible growth on the face that is changing in size or color.
• Itching or irritation at the site of the lesion.
• Bleeding or oozing from the lesion.
• Pain or discomfort 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 like seborrheic keratosis.

Diagnostic Tests Before Procedure

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

• 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 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 and certain medications as advised by the physician.
• Do not eat or drink for a specified period before the procedure if sedation is planned.
• Arrive at the facility with a clean face, free of makeup.

Recovery and Aftercare

Post-procedure care is crucial for healing.

• Keep the surgical site clean and dry.
• Apply prescribed ointments as directed.
• Avoid sun exposure on the healing area.
• Follow up for suture removal as instructed.

Possible Complications

While generally safe, there are potential risks.

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

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Post-Procedure Follow-Up

Regular follow-up is essential for monitoring recovery.

• Initial follow-up within one week for suture removal.
• Further follow-up as needed based on healing progress.
• Monitoring for any signs of recurrence or complications.

Alternative Treatments

There are non-surgical options available.

• Cryotherapy to freeze and remove the lesion.
• 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 clean and avoid touching it.
• Use cold compresses to reduce swelling.
• Stay hydrated and maintain a healthy diet.

Patient Education & Prevention

Education is key to preventing future lesions.

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

Billing and Coding Information

CPT Code: 21348

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.
• Out-of-pocket costs may apply based on individual insurance plans.

Related CPT Codes

• 21345 - Repair of facial fracture
• 21346 - Excision of benign lesion, face, ears, scalp, neck
• 21347 - Removal of benign skin lesion, face

References and Sources

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