Overview of CPT Code 21620: Excision of benign skin lesion, face, ears, scalp, neck, hands, feet, or genitalia.

Overview of CPT Code 21620: Excision of benign skin lesion, face, ears, scalp, neck, hands, feet, or genitalia.

CPT Code 21620 refers to the surgical excision of benign skin lesions located on the face, ears, scalp, neck, hands, feet, or genitalia. This procedure is typically performed to remove lesions that are non-cancerous but may cause discomfort, cosmetic concerns, or other issues.

When CPT Code 21620 is Used?

This code is applicable in various clinical scenarios.

• Removal of benign moles or skin tags that are bothersome or unsightly.
• Excision of seborrheic keratosis that may be irritated or inflamed.
• Surgical intervention for dermatofibromas that are symptomatic.
• Excision of lipomas located in cosmetic areas.

Symptoms Indicating This Procedure

Patients may report several symptoms that warrant this procedure.

• Visible growths on the skin that are changing in size or color.
• Itching or irritation associated with the lesion.
• Bleeding or oozing from the lesion.
• Pain or discomfort in the area of 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.
• Previous skin injuries or trauma.

Diagnostic Tests Before Procedure

Certain tests may be conducted prior to the 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 excises the lesion along with a margin of healthy tissue.
• The wound is closed with sutures or adhesive strips.
• Dressing is applied to protect the area.

Preparation for the Procedure

Patients should follow specific guidelines before the procedure.

• Avoid blood thinners like aspirin or ibuprofen a week prior.
• Inform the doctor about any allergies or medications.
• Arrive with clean skin, free of lotions or makeup.
• Arrange for transportation if sedation is used.

Recovery and Aftercare

Post-procedure care is crucial for healing.

• Keep the area clean and dry for the first few days.
• Change the dressing as instructed by the healthcare provider.
• Avoid strenuous activities for at least a week.
• Watch for signs of infection such as increased redness or pus.

Possible Complications

While generally safe, there are potential risks.

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

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 essential to monitor healing.

• Schedule a follow-up appointment within 1-2 weeks.
• Remove sutures if applicable during the follow-up.
• Monitor for any unusual changes in the excised area.

Alternative Treatments

There are non-surgical options available.

• 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.

• Keep the excision site clean and dry.
• Avoid picking at scabs or the wound.
• Use over-the-counter pain relief as needed.
• Stay hydrated and maintain a balanced 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, especially during peak hours.
• Consult a dermatologist for any skin concerns.

Billing and Coding Information

CPT Code: 21620

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 the insurance plan.

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.
• 11406 - Excision, benign skin lesion; face, ears, scalp, neck, excised diameter over 4.0 cm
• 11420 - 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