Overview of CPT Code 22114: Excision of benign skin lesion, face, ears, scalp, neck

Overview of CPT Code 22114: Excision of benign skin lesion, face, ears, scalp, neck

CPT Code 22114 refers to the surgical excision of benign skin lesions located on the face, ears, scalp, or neck. This procedure is performed to remove non-cancerous growths that may cause cosmetic concerns or discomfort.

When CPT Code 22114 is Used?

This code is applicable in various clinical scenarios.

• Removal of a benign mole that is causing irritation.
• Excision of a lipoma on the scalp.
• Surgical intervention for a seborrheic keratosis on the face.
• Excision of a dermatofibroma on the neck.

Symptoms Indicating This Procedure

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

• Visible growth on the skin that is changing in size or color.
• Itching or irritation at the site of the lesion.
• Bleeding or oozing from the lesion.
• Pain or discomfort 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.
• Hormonal changes affecting skin health.
• Previous skin injuries or trauma.

Diagnostic Tests Before Procedure

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

• Physical examination of the lesion.
• Dermatoscopy to assess the characteristics of the lesion.
• Biopsy if there is uncertainty about the diagnosis.

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.
• 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

Patients should follow specific guidelines before the procedure.

• Avoid blood thinners like aspirin for a week prior.
• Inform the doctor of 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.
• Take prescribed pain medications as needed.

Possible Complications

While generally safe, there are potential risks involved.

• 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 recovery.

• Schedule a follow-up visit within 1-2 weeks to check the healing.
• Monitor for any signs of infection or complications.
• Discuss pathology results if a biopsy was performed.

Alternative Treatments

There are non-surgical options for managing benign lesions.

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

Home Care Tips

Patients can follow these tips for better recovery.

• Avoid touching or scratching the excision site.
• Use sunscreen on the area once healed to prevent discoloration.
• Stay hydrated and maintain a balanced diet to support healing.

Patient Education & Prevention

Educating patients 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: 22114

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.
• 11403 - Excision, benign skin lesion, face, ears, scalp; 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