Overview of CPT Code 21380: Excision of benign lesion, face, ears, eyelids, scalp, neck

Overview of CPT Code 21380: Excision of benign lesion, face, ears, eyelids, scalp, neck

CPT Code 21380 refers to the surgical excision of benign lesions located on the face, ears, eyelids, scalp, or neck. This procedure is typically performed to remove non-cancerous growths that may cause cosmetic concerns or discomfort.

When CPT Code 21380 is Used?

This code is applicable in various clinical scenarios.

• Presence of benign skin lesions such as seborrheic keratosis, lipomas, or dermatofibromas.
• Lesions causing irritation or discomfort.
• Cosmetic concerns regarding the appearance of facial or neck lesions.
• Lesions that are suspected to be benign but require histological examination.

Symptoms Indicating This Procedure

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

• Visible growths on the skin that are changing in size or color.
• Itching or irritation at the site of 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 growths.
• Sun exposure leading to skin changes.
• Age-related skin changes.
• Previous skin injuries or trauma.

Diagnostic Tests Before Procedure

Certain 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 can enhance the procedure's success.

• Avoid blood thinners and certain medications as advised by the physician.
• Inform the doctor about any allergies or medical conditions.
• Arrive at the facility with a clean face and neck area.

Recovery and Aftercare

Post-procedure care is crucial for healing.

• Keep the surgical site clean and dry.
• Follow up for suture removal as directed.
• Apply prescribed ointments to promote healing.
• Monitor for signs of infection such as increased redness or discharge.

Possible Complications

While complications are rare, they can occur.

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

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Post-Procedure Follow-Up

Regular follow-up is essential for monitoring recovery.

• Initial follow-up within 1-2 weeks for suture removal.
• Further follow-up as needed based on healing progress.
• Regular skin checks for new lesions or changes.

Alternative Treatments

Non-surgical options may be considered in some cases.

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

Home Care Tips

Simple home care can aid in recovery.

• Avoid sun exposure on the healing area.
• Use gentle cleansers and avoid harsh scrubs.
• Keep the area moisturized as advised.

Patient Education & Prevention

Education can help prevent future lesions.

• Regular skin checks for early detection of changes.
• Use sunscreen to protect against UV damage.
• Maintain a healthy lifestyle to support skin health.

Billing and Coding Information

CPT Code: 21380

Category: Surgical Procedures

Common Modifiers:

• -50
• -59
• -76

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

• 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