Overview of CPT Code 22130: Excision of benign skin lesion, face, ears, scalp, neck

Overview of CPT Code 22130: Excision of benign skin lesion, face, ears, scalp, neck

CPT Code 22130 refers to the surgical excision of a benign skin lesion 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 22130 is Used?

This code is applicable in various clinical scenarios, including:

• Removal of benign moles or nevi that are symptomatic or cosmetically undesirable.
• Excision of seborrheic keratosis that may be irritated or inflamed.
• Surgical intervention for dermatofibromas that are painful or bothersome.
• Management of lipomas located on the face or neck that require excision.

Symptoms Indicating This Procedure

Patients may report the following symptoms that lead to the consideration of this procedure:

• Visible growths on the skin that are changing in size or color.
• Itching, irritation, or discomfort associated with the lesion.
• Bleeding or oozing from the lesion.
• Concerns about the cosmetic appearance of the skin.

Causes and Risk Factors

Several factors can contribute to the development of benign skin lesions, including:

• Genetic predisposition to skin growths.
• Sun exposure leading to skin changes.
• Age-related skin changes resulting in benign lesions.
• Hormonal changes that may influence skin growth.

Diagnostic Tests Before Procedure

Prior to the excision, the following diagnostic tests may be performed:

• Physical examination of the lesion to assess characteristics.
• Dermatoscopy to evaluate the lesion's structure.
• Biopsy may be performed if there is suspicion of malignancy.

Procedure Description

The excision procedure typically follows these steps:

• Patient is positioned comfortably and the area is cleaned.
• Local anesthesia is administered to numb the area.
• A surgical incision is made around the lesion.
• The lesion is carefully excised along with a margin of healthy tissue.
• The incision is closed with sutures or adhesive strips.
• Dressing is applied to protect the wound.

Preparation for the Procedure

Patients should follow these preparation steps:

• Avoid blood-thinning medications for a week prior to the procedure.
• Discuss any allergies with the healthcare provider.
• Arrive with clean skin, free of lotions or makeup.
• Have a responsible adult accompany you for post-procedure transport.

Recovery and Aftercare

Post-procedure recovery typically involves:

• Resting for the remainder of the day after the procedure.
• Keeping the surgical site clean and dry.
• Changing the dressing as instructed by the healthcare provider.
• Taking prescribed pain medications as needed.

Possible Complications

While generally safe, potential complications include:

• Infection at the surgical site.
• Excessive bleeding during or after the procedure.
• Scarring or changes in skin pigmentation.
• Recurrence of the lesion if not completely excised.

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Post-Procedure Follow-Up

Follow-up care is essential for monitoring recovery:

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

Alternative Treatments

Non-surgical options may include:

• Topical treatments for superficial lesions.
• Cryotherapy for certain benign skin growths.
• Laser therapy for cosmetic concerns.

Home Care Tips

To aid recovery, consider these home care tips:

• Avoid sun exposure on the healing area.
• Do not pick at scabs or the surgical site.
• Keep the area moisturized as advised by your provider.
• Follow all post-operative instructions carefully.

Patient Education & Prevention

To prevent recurrence and maintain skin health:

• Regular skin checks for new or changing lesions.
• Use sunscreen to protect skin from UV damage.
• Maintain a healthy lifestyle to support skin health.
• Consult a dermatologist for any concerns about skin changes.

Billing and Coding Information

CPT Code: 22130

Category: Surgical Procedures

Common Modifiers:

• -50
• -RT
• -LT

Average Cost and Insurance Coverage

The cost for this procedure can vary:

• 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

• 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