Overview of CPT Code 22140: Excision of benign skin lesion, face, ears, scalp, neck

Overview of CPT Code 22140: Excision of benign skin lesion, face, ears, scalp, neck

CPT Code 22140 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 22140 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 bothersome.
• Surgical intervention for dermatofibromas that are painful or growing.
• Excision of lipomas located on the face, ears, scalp, or neck.

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.
• Cosmetic concerns regarding the 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 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 these preparation steps:

• Avoid blood thinners such as aspirin or ibuprofen a week prior.
• Inform the physician of any allergies or medical conditions.
• Arrive with clean skin, free of lotions or makeup.
• Arrange for transportation if sedation is used.

Recovery and Aftercare

Post-procedure recovery typically involves:

• Keeping the wound clean and dry for the first few days.
• Changing the dressing as instructed by the healthcare provider.
• Taking prescribed pain medications as needed.
• Avoiding strenuous activities for a week to promote healing.

Possible Complications

While generally safe, potential complications include:

• 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 care is essential for monitoring recovery:

• Schedule a follow-up appointment within 1-2 weeks to assess healing.
• Remove sutures if applicable during the follow-up visit.
• Report any signs of infection or unusual changes in the wound.

Alternative Treatments

Non-surgical options may include:

• Topical treatments for superficial lesions.
• Cryotherapy to freeze off benign growths.
• Laser therapy for cosmetic improvement of skin lesions.

Home Care Tips

Patients can follow these tips for effective home care:

• Keep the area clean and avoid touching it.
• Use over-the-counter pain relief as needed.
• Monitor for signs of infection such as increased redness or pus.
• Follow all post-operative instructions provided by the healthcare provider.

Patient Education & Prevention

To prevent recurrence and maintain skin health:

• Regularly check skin for new growths or changes.
• Use sunscreen to protect skin from UV damage.
• Maintain a healthy lifestyle to support skin health.
• Consult a dermatologist for regular skin evaluations.

Billing and Coding Information

CPT Code: 22140

Category: Surgical Procedures

Common Modifiers:

• 50 - Bilateral procedure
• 59 - Distinct procedural service

Average Cost and Insurance Coverage

The cost for this procedure can vary widely:

• Average cost ranges from $200 to $1,500 depending on complexity.
• Most insurance plans cover excision of benign lesions.
• Patients should verify coverage with their insurance provider.

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