Overview of CPT Code 23155: Excision of benign skin lesion, face, ears, scalp
CPT Code 23155 refers to the surgical excision of benign skin lesions located on the face, ears, or scalp. This procedure is performed to remove non-cancerous growths that may cause cosmetic concerns or discomfort.
When CPT Code 23155 is Used?
This code is applicable in various clinical scenarios.
- Presence of benign skin lesions such as seborrheic keratosis, lipomas, or dermatofibromas.
- Lesions that are symptomatic, causing pain or irritation.
- Cosmetic concerns regarding the appearance of skin lesions.
- Lesions that are growing or changing in appearance.
Symptoms Indicating This Procedure
Patients may report several symptoms that warrant this procedure.
- Visible skin growths on the face, ears, or scalp.
- Itching or irritation at the site of the lesion.
- Bleeding or oozing from the lesion.
- Changes in color or size of the lesion.
Causes and Risk Factors
Understanding the causes and risk factors can help in prevention.
- Genetic predisposition to skin growths.
- Sun exposure leading to skin changes.
- Age-related skin changes.
- Previous skin injuries or trauma.
Diagnostic Tests Before Procedure
Certain tests may be conducted to confirm the need for excision.
- Physical examination of the lesion.
- Dermatoscopy to assess the characteristics of the lesion.
- Biopsy if there is suspicion of malignancy.
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.
- The surgeon excises the lesion along with a margin of healthy tissue.
- The wound is closed with sutures or adhesive strips.
- Post-operative care instructions are provided.
Preparation for the Procedure
Proper preparation is essential for a smooth procedure.
- Avoid blood thinners and certain medications as advised by the physician.
- Arrive with clean skin, free of lotions or makeup.
- Discuss any allergies or medical conditions with the healthcare provider.
Recovery and Aftercare
Recovery is generally straightforward with proper care.
- Wound care instructions should be followed to prevent infection.
- Pain relief medications may be prescribed as needed.
- Avoid sun exposure on the healing area.
- Follow-up appointment should be scheduled to monitor healing.
Possible Complications
While complications are rare, they can occur.
- Infection at the site of excision.
- Scarring or changes in skin texture.
- Bleeding or hematoma formation.
- Allergic reaction to anesthesia.
Secure, compliant, and built for trust
HIPAA-compliant and designed with privacy in mind, your patient’s data is protected. Focus on care while we safeguard your information.
Learn more
Post-Procedure Follow-Up
Follow-up is crucial for ensuring proper healing.
- Typically scheduled within 1-2 weeks post-procedure.
- Assessment of healing and removal of sutures if applicable.
- Discussion of pathology results if a biopsy was performed.
Alternative Treatments
Non-surgical options may be considered in some cases.
- Cryotherapy for superficial lesions.
- Topical treatments for certain benign skin conditions.
- Laser therapy for cosmetic concerns.
Home Care Tips
Patients can take steps to aid recovery at home.
- Keep the area clean and dry.
- Apply any prescribed ointments as directed.
- Monitor for signs of infection such as increased redness or discharge.
Patient Education & Prevention
Education is key to preventing future lesions.
- Regular skin checks for new or changing lesions.
- Use of sunscreen to protect skin from UV damage.
- Avoiding excessive sun exposure, especially during peak hours.
Billing and Coding Information
CPT Code: 23155
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.
Related CPT Codes
Frequently Asked Questions (FAQs)
Is the procedure painful?
Local anesthesia is used to minimize discomfort during the procedure.
How long does the procedure take?
The excision typically takes about 30 minutes to an hour.
Will there be a scar after the procedure?
Some scarring may occur, but it usually fades over time.
Can I drive after the procedure?
You may drive if you did not receive sedation; otherwise, arrange for a ride.
