Overview of CPT Code 23120: Excision of benign lesion, shoulder
CPT Code 23120 refers to the surgical excision of a benign lesion located on the shoulder. This procedure is typically performed to remove non-cancerous growths that may cause discomfort, cosmetic concerns, or functional impairment.
When CPT Code 23120 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 growing or changing in appearance.
Symptoms Indicating This Procedure
Patients may report several symptoms that lead to the consideration of this procedure.
- Visible lump or bump on the shoulder.
- Pain or tenderness in the area of the lesion.
- Restricted range of motion due to the lesion.
- Skin irritation or inflammation around the lesion.
Causes and Risk Factors
Understanding the causes and risk factors can help in prevention and early detection.
- Genetic predisposition to benign tumors.
- Previous skin injuries or infections.
- Chronic skin conditions.
- Age-related changes in skin and tissue.
Diagnostic Tests Before Procedure
Certain tests may be conducted to confirm the diagnosis before proceeding with surgery.
- 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-thinning medications for a week prior to surgery.
- Discuss any allergies with the healthcare provider.
- Arrange for transportation home post-procedure.
- Follow any specific dietary instructions given by the provider.
Recovery and Aftercare
Post-operative care is crucial for optimal recovery.
- Rest for the first 24 hours after the procedure.
- Keep the surgical site clean and dry.
- Follow-up for suture removal as advised.
- Use prescribed pain medications as needed.
Possible Complications
While complications are rare, they can occur.
- Infection at the surgical site.
- Scarring or changes in skin texture.
- Bleeding or hematoma formation.
- Recurrence of the lesion.
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Post-Procedure Follow-Up
Follow-up appointments are essential for monitoring recovery.
- Initial follow-up within 1-2 weeks post-surgery.
- Regular check-ups to monitor healing and assess for recurrence.
- Pathology results discussion if the lesion was sent for analysis.
Alternative Treatments
In some cases, non-surgical options may be considered.
- Observation for small, asymptomatic lesions.
- Corticosteroid injections to reduce inflammation.
- Cryotherapy to freeze and remove the lesion.
Home Care Tips
Patients can take several steps at home to aid recovery.
- Keep the incision site clean and dry.
- Avoid strenuous activities that may stress the shoulder.
- Monitor for signs of infection, such as increased redness or swelling.
- Follow a balanced diet to support healing.
Patient Education & Prevention
Educating patients can help prevent future lesions.
- Regular skin checks for new or changing lesions.
- Sun protection to prevent skin damage.
- Healthy lifestyle choices to support skin health.
Billing and Coding Information
CPT Code: 23120
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 depending on the insurance plan.
Related CPT Codes
Frequently Asked Questions (FAQs)
What is a benign lesion?
A benign lesion is a non-cancerous growth that does not spread to other parts of the body.
How long does the procedure take?
The excision procedure typically takes about 30 minutes to an hour.
Will I have a scar after the surgery?
There may be a scar, but it usually fades over time and can be minimized with proper care.
Is the procedure painful?
Local anesthesia is used to minimize pain during the procedure, and discomfort afterward can be managed with medication.
