Overview of CPT Code 21627: Excision of benign skin lesion, face, ears, scalp, neck

Overview of CPT Code 21627: Excision of benign skin lesion, face, ears, scalp, neck

CPT Code 21627 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 21627 is Used?

This procedure is indicated in various clinical scenarios.

• Removal of benign moles or nevi that are cosmetically unappealing.
• 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 consideration of this procedure.

• 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

Several factors can contribute to the development of benign skin lesions.

• Genetic predisposition to skin growths.
• Sun exposure leading to skin changes.
• Aging, which can increase the likelihood of benign lesions.
• Skin trauma or irritation that may promote lesion formation.

Diagnostic Tests Before Procedure

Certain tests may be conducted to confirm the nature of the skin lesion.

• Physical examination of the lesion by a healthcare provider.
• Dermatoscopy to visualize the lesion in detail.
• Biopsy may be performed if malignancy is suspected.

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

Patients should follow specific guidelines before the procedure.

• Avoid blood thinners and certain medications as advised by the doctor.
• Do not apply any creams or lotions to the lesion area on the day of the procedure.
• Arrive at the facility with a clean face and neck.

Recovery and Aftercare

Post-procedure care is essential for optimal healing.

• Keep the surgical site clean and dry.
• Change dressings as instructed by the healthcare provider.
• Avoid strenuous activities for at least a week.
• Follow up for suture removal if applicable.

Possible Complications

While generally safe, there are potential risks associated with the procedure.

• Infection at the surgical site.
• Scarring or changes in skin pigmentation.
• Bleeding or hematoma formation.
• Recurrence of the lesion.

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Post-Procedure Follow-Up

Regular follow-up is important to monitor healing.

• 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 for managing benign skin lesions.

• Cryotherapy to freeze off the lesion.
• Topical treatments for superficial lesions.
• Laser therapy for cosmetic improvement.

Home Care Tips

Patients can take steps at home to aid recovery.

• Keep the area clean and avoid touching it.
• Apply prescribed ointments as directed.
• Monitor for any signs of infection such as increased redness or discharge.

Patient Education & Prevention

Educating patients on skin health can help prevent 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.

Billing and Coding Information

CPT Code: 21627

Category: Surgical Procedures

Common Modifiers:

• 50 (bilateral procedure)
• RT (right side)
• LT (left side)

Average Cost and Insurance Coverage

Costs can vary based on location and insurance.

• 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.
• 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
• Cleveland Clinic - Skin Lesions