Overview of CPT Code 23171: Excision of benign skin lesion, face, ears, scalp
CPT Code 23171 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 23171 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 irritation or discomfort.
- Cosmetic concerns regarding the appearance of skin lesions.
- Lesions that have changed in size, shape, or color, warranting removal.
Symptoms Indicating This Procedure
Patients may report several symptoms that lead to the consideration of 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 the appearance 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.
- Dressing is applied to protect the site.
Preparation for the Procedure
Patients should follow specific guidelines before the procedure.
- Avoid blood thinners such as aspirin or ibuprofen a week prior.
- Inform the doctor of any allergies or medical conditions.
- Arrive with clean skin, free of makeup or lotions.
- Arrange for transportation if sedation is used.
Recovery and Aftercare
Post-procedure care is crucial for healing.
- Keep the area clean and dry for the first few days.
- Change the dressing as instructed by the healthcare provider.
- Avoid strenuous activities for at least a week.
- Watch for signs of infection such as increased redness or pus.
Possible Complications
While generally safe, there are potential risks involved.
- Infection at the site of excision.
- Scarring or changes in skin pigmentation.
- Recurrence of the lesion.
- Allergic reaction to sutures or topical medications.
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Post-Procedure Follow-Up
Follow-up is essential to monitor healing.
- Schedule a follow-up appointment within 1-2 weeks.
- Sutures may be removed during this visit if applicable.
- Monitor for any unusual changes in the excised area.
Alternative Treatments
There are non-surgical options available.
- Cryotherapy to freeze off benign lesions.
- Laser therapy for superficial skin lesions.
- Topical treatments for certain types of skin growths.
Home Care Tips
Simple tips can aid in recovery.
- Keep the excision site clean and dry.
- Avoid picking at scabs or lesions.
- Use sunscreen to protect the healing area from sun exposure.
- Stay hydrated and maintain a healthy diet.
Patient Education & Prevention
Education is key to preventing future lesions.
- Regular skin checks for new or changing lesions.
- Use sunscreen to protect against UV damage.
- Avoid excessive sun exposure, especially during peak hours.
- Consult a dermatologist for any skin concerns.
Billing and Coding Information
CPT Code: 23171
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.
- Out-of-pocket costs may apply based on the insurance plan.
Related CPT Codes
Frequently Asked Questions (FAQs)
Is the procedure painful?
Local anesthesia is used, so discomfort is minimal 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 is possible, but it usually fades over time.
Can I drive after the procedure?
If local anesthesia is used, you should be able to drive; however, if sedation is used, arrange for a ride.
