Overview of CPT Code 21422: Excision of benign skin lesion, face, ears, scalp, neck

Overview of CPT Code 21422: Excision of benign skin lesion, face, ears, scalp, neck

CPT Code 21422 refers to the surgical excision of benign skin lesions located on the face, ears, scalp, or neck. This procedure is typically performed to remove lesions that are non-cancerous but may cause cosmetic concerns or discomfort.

When CPT Code 21422 is Used?

This code is applicable in various clinical scenarios.

• Removal of benign moles or nevi that are cosmetically undesirable.
• Excision of seborrheic keratosis that may be irritated or inflamed.
• Surgical intervention for lipomas located on the face or neck.
• Excision of dermatofibromas that are symptomatic or bothersome.

Symptoms Indicating This Procedure

Patients may report several symptoms that lead to the decision for excision.

• Visible growths on the skin that are changing in size or color.
• Lesions that cause discomfort or irritation.
• Cosmetic concerns regarding the appearance of skin lesions.
• Itching or tenderness 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.
• Age-related skin changes resulting in benign growths.
• Previous skin injuries or trauma.

Diagnostic Tests Before Procedure

Certain tests may be conducted to confirm the diagnosis.

• Physical examination of the lesion by a dermatologist.
• Dermatoscopy to evaluate the characteristics of the lesion.
• Biopsy may be performed 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 excises the lesion along with a margin of healthy tissue.
• 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 and certain medications as advised by the physician.
• Do not apply any creams or lotions to the lesion area on the day of the procedure.
• Arrive at the appointment with a clean face and neck.

Recovery and Aftercare

Post-procedure care is crucial for optimal healing.

• Keep the excision site clean and dry.
• Change dressings as instructed by the healthcare provider.
• Avoid strenuous activities for a few days.
• Monitor for signs of infection such as increased redness or discharge.

Possible Complications

While complications are rare, they can occur.

• Infection at the excision site.
• Scarring or changes in skin pigmentation.
• Delayed healing of the wound.
• Recurrence of the lesion.

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Post-Procedure Follow-Up

Follow-up appointments are essential for monitoring.

• Schedule a follow-up visit within 1-2 weeks to assess healing.
• Sutures may be removed during this visit if applicable.
• Report any unusual symptoms or concerns immediately.

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 tips can aid in recovery at home.

• Keep the area moisturized with recommended ointments.
• Avoid sun exposure on the healing site.
• Follow all post-operative instructions carefully.

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.
• Maintain a healthy lifestyle to support skin health.

Billing and Coding Information

CPT Code: 21422

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 $1,000 depending on complexity.
• Most insurance plans cover excision of benign lesions.
• Verify coverage details with your insurance provider.

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.
• 11404 - Excision, benign skin lesion, face, ears, scalp; excised diameter over 4.0 cm.

References and Sources

• American Academy of Dermatology
• Mayo Clinic - Skin Lesions