Overview of CPT Code 21932: Excision of benign skin lesion

Overview of CPT Code 21932: Excision of benign skin lesion

CPT Code 21932 refers to the surgical excision of a benign skin lesion, which is a non-cancerous growth on the skin. This procedure is performed to remove lesions that may cause discomfort, cosmetic concerns, or have the potential to become problematic.

When CPT Code 21932 is Used?

This code is applicable in various clinical scenarios.

• Removal of a benign mole that is causing irritation.
• Excision of a lipoma that is growing or painful.
• Surgical intervention for a seborrheic keratosis that is unsightly.
• Excision of a dermatofibroma that is bothersome to the patient.

Symptoms Indicating This Procedure

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

• Persistent itching or irritation at the site of the lesion.
• Changes in the appearance of the lesion, such as size or color.
• Pain or discomfort associated with the lesion.
• Bleeding or oozing from 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 trauma.
• Certain skin conditions that promote lesion formation.

Diagnostic Tests Before Procedure

Before the excision, certain diagnostic tests may be performed.

• Physical examination of the lesion.
• Dermatoscopy to assess the characteristics of the lesion.
• Biopsy if there is any 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 success of the procedure.

• Avoid blood thinners like aspirin a week before the procedure.
• Inform the doctor about any allergies or medications.
• Arrive with clean skin, free of lotions or creams.
• Arrange for someone to drive you home post-procedure.

Recovery and Aftercare

Post-procedure care is crucial for healing.

• Expect mild discomfort and swelling for a few days.
• Keep the area clean and dry; follow wound care instructions.
• Avoid strenuous activities for at least a week.
• Use prescribed pain relief medications as needed.

Possible Complications

While complications are rare, they can occur.

• Infection at the site of excision.
• Excessive bleeding during or after the procedure.
• Scarring or changes in skin pigmentation.
• Recurrence of the lesion.

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Post-Procedure Follow-Up

Follow-up is essential to monitor healing.

• Schedule a follow-up appointment within 1-2 weeks.
• 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.
• Topical treatments for superficial lesions.
• Laser therapy for cosmetic concerns.

Home Care Tips

Simple home care can aid recovery.

• Keep the excision site clean and dry.
• Avoid picking at scabs or the incision.
• Use sunscreen on the area once healed to prevent discoloration.
• Stay hydrated and maintain a healthy diet to support healing.

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 tanning beds and excessive sun exposure.
• Consult a dermatologist for any skin concerns.

Billing and Coding Information

CPT Code: 21932

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 excision of benign lesions.
• Check with your insurance provider for specific coverage details.

Related CPT Codes

• 21930 - Excision of soft tissue tumor, subcutaneous
• 21931 - Excision of benign skin lesion
• 21933 - Excision of benign skin lesion

References and Sources

• American Academy of Dermatology
• Mayo Clinic - Skin Lesions