Overview of CPT Code 21350:excision-of-benign-skin-lesion-face

Overview of CPT Code 21350:excision-of-benign-skin-lesion-face

CPT Code 21350 refers to the surgical excision of a benign skin lesion located on the face. This procedure is performed to remove non-cancerous growths that may cause cosmetic concerns or discomfort.

When CPT Code 21350 is Used?

This code is applicable in various clinical scenarios.

• Presence of a benign skin lesion on the face that is symptomatic.
• Lesions that are growing or changing in appearance.
• Cosmetic concerns regarding the appearance of facial lesions.
• Lesions that may be causing irritation or discomfort.

Symptoms Indicating This Procedure

Patients may report several symptoms that warrant this procedure.

• Visible growth on the face that is changing in size or color.
• Itching or irritation around the lesion.
• Bleeding or oozing from the lesion.
• Discomfort or pain 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 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

Proper preparation is essential for a smooth procedure.

• Avoid blood thinners and certain medications as advised by the doctor.
• Do not eat or drink for a specified period before the procedure.
• Arrive at the facility with a clean face, free of makeup.

Recovery and Aftercare

Post-procedure care is crucial for healing.

• Expect some swelling and redness around the incision site.
• Keep the area clean and dry; follow wound care instructions.
• Pain relief medications may be prescribed as needed.
• Avoid sun exposure on the healing area.

Possible Complications

While complications are rare, they can occur.

• Infection at the incision site.
• Scarring or changes in skin pigmentation.
• Delayed healing or wound dehiscence.
• Allergic reactions to sutures or topical medications.

Secure, compliant, and built for trust

HIPAA-compliant and designed with privacy in mind, your patient’s data is protected. Focus on care while we safeguard your information.

Learn more

Post-Procedure Follow-Up

Follow-up is important to monitor healing.

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

Alternative Treatments

There are non-surgical options available.

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

Home Care Tips

Simple tips can aid in recovery.

• Keep the incision site clean and dry.
• Apply any prescribed ointments as directed.
• Avoid picking at scabs or the incision site.

Patient Education & Prevention

Education can help prevent recurrence.

• Regular skin checks for new or changing lesions.
• Use sunscreen to protect skin from UV damage.
• Avoid excessive sun exposure, especially during peak hours.

Billing and Coding Information

CPT Code: 21350

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.

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.
• 11600 - Excision, malignant skin lesion, face, ears, scalp, neck; excised diameter over 4.0 cm.
• 11601 - Excision, malignant skin lesion, face, ears, scalp, neck; excised diameter over 4.0 cm.
• 11602 - Excision, malignant skin lesion, face, ears, scalp, neck; excised diameter over 4.0 cm.

References and Sources

• American Academy of Dermatology
• Mayo Clinic - Skin Lesions