Overview of CPT Code 22112: Excision of benign skin lesion, excised diameter over 4 cm

Overview of CPT Code 22112: Excision of benign skin lesion, excised diameter over 4 cm

CPT Code 22112 refers to the surgical excision of a benign skin lesion with an excised diameter greater than 4 cm. This procedure is typically performed to remove lesions that may be causing discomfort, cosmetic concerns, or have the potential for malignancy.

When CPT Code 22112 is Used?

This code is applicable in various clinical scenarios.

• Large benign skin lesions that are symptomatic or causing discomfort.
• Lesions that are cosmetically unappealing to the patient.
• Suspicious lesions that require excision for histopathological examination.

Symptoms Indicating This Procedure

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

• Visible growth on the skin that is larger than 4 cm.
• Itching or irritation in the area of the lesion.
• Bleeding or oozing from the lesion.
• Changes in the appearance of the lesion, such as color or texture.

Causes and Risk Factors

Understanding the causes and risk factors can help in prevention and early detection.

• Genetic predisposition to skin lesions.
• Chronic sun exposure leading to skin changes.
• Previous skin injuries or infections.
• Certain skin conditions like seborrheic keratosis or dermatofibromas.

Diagnostic Tests Before Procedure

Several diagnostic tests may be performed to guide the decision for excision.

• Physical examination of the lesion.
• Dermatoscopy to assess the characteristics of the lesion.
• Biopsy if malignancy is suspected.

Procedure Description

The excision procedure involves several key steps.

• Patient is positioned comfortably and the area is cleaned.
• Local anesthesia is administered to numb the area.
• A scalpel is used to excise 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

Proper preparation can enhance the success of 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 creams.

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 complications are rare, they can occur.

• Infection at the excision site.
• 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.
• Sutures may need to be removed after 7-14 days.
• Monitor for any unusual changes in the excision site.

Alternative Treatments

There are non-surgical options available for some lesions.

• Cryotherapy for superficial lesions.
• Laser therapy for certain types of skin growths.
• Topical treatments for benign skin conditions.

Home Care Tips

Simple home care can aid in recovery.

• Keep the excision site clean and dry.
• Apply ice packs to reduce swelling if needed.
• Avoid picking at scabs or the incision site.

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.

Billing and Coding Information

CPT Code: 22112

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 $500 to $2,000 depending on location and complexity.
• Most insurance plans cover the procedure if deemed medically necessary.

Related CPT Codes

• 11406 - Excision, benign skin lesion; face, ears, scalp, neck, excised diameter over 4.0 cm
• 11400 - 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.
• 11404 - Excision, benign skin lesion, face, ears, scalp; excised diameter over 4.0 cm.
• 11401 - 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