Overview of CPT Code 23110:'Excision of benign lesion, shoulder'

Overview of CPT Code 23110:'Excision of benign lesion, shoulder'

CPT Code 23110 refers to the surgical excision of a benign lesion located on the shoulder. This procedure is performed to remove non-cancerous growths that may cause discomfort, cosmetic concerns, or other complications.

When CPT Code 23110 is Used?

This code is applicable in various clinical scenarios.

• Presence of a benign tumor or cyst on the shoulder.
• Lesions causing pain or discomfort.
• Cosmetic concerns regarding the appearance of the shoulder.
• Lesions that are suspected to be problematic or require histological examination.

Symptoms Indicating This Procedure

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

• Visible lump or growth on the shoulder.
• Pain or tenderness in the area of the lesion.
• Itching or irritation around the lesion.
• Limited range of motion due to the lesion.

Causes and Risk Factors

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

• Genetic predisposition to skin lesions.
• Previous skin injuries or infections.
• Chronic skin conditions such as eczema or psoriasis.
• Sun exposure leading to skin changes.

Diagnostic Tests Before Procedure

Certain tests may be conducted to confirm the diagnosis before proceeding with the excision.

• Physical examination of the lesion.
• Ultrasound imaging to assess the lesion's characteristics.
• Biopsy to determine the nature of the lesion.

Procedure Description

The excision procedure involves several key steps.

• Patient is positioned comfortably and the shoulder area is cleaned.
• Local anesthesia is administered to numb the area.
• An incision is made around the lesion to excise it completely.
• The lesion is removed and sent for pathological examination if necessary.
• 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 and certain medications as advised by the physician.
• Inform the doctor about any allergies or medical conditions.
• Arrange for transportation post-procedure if sedation is used.
• Wear loose-fitting clothing to allow easy access to the shoulder.

Recovery and Aftercare

Post-procedure care is crucial for optimal recovery.

• Rest the shoulder and avoid strenuous activities for a few days.
• Keep the incision site clean and dry.
• Follow up with the physician for suture removal if applicable.
• Use prescribed pain medications as needed.

Possible Complications

While complications are rare, they can occur.

• Infection at the incision site.
• Scarring or changes in skin pigmentation.
• Recurrence of the lesion.
• Nerve damage leading to altered sensation.

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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 post-procedure.
• Monitor for signs of infection or complications.
• Discuss pathology results if the lesion was sent for analysis.

Alternative Treatments

In some cases, non-surgical options may be considered.

• Observation for asymptomatic lesions.
• Cryotherapy to freeze and remove the lesion.
• Laser therapy for superficial lesions.

Home Care Tips

Simple home care can aid in recovery.

• Keep the area clean and dry.
• Avoid picking at the incision site.
• Apply ice packs to reduce swelling if needed.
• Follow a healthy 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 skin trauma and irritants.

Billing and Coding Information

CPT Code: 23110

Category: Surgery

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 complexity.
• Most insurance plans cover the procedure if deemed medically necessary.
• Out-of-pocket costs may apply based on the insurance policy.

Related CPT Codes

• 23100 - 'Excision of benign skin lesion, face, ears, scalp'
• 23105 - Excision of soft tissue tumor, shoulder