Overview of CPT Code 23190: Excision of benign lesion, shoulder

Overview of CPT Code 23190: Excision of benign lesion, shoulder

CPT Code 23190 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 23190 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 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.

• Consult with the surgeon about medications to avoid, such as blood thinners.
• Arrive at the facility with a clean shoulder area.
• Wear loose-fitting clothing for comfort post-procedure.
• Arrange for transportation home after the procedure.

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 for suture removal as directed by the healthcare provider.
• 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 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 one week to check the incision site.
• Further follow-ups as needed based on healing progress.
• 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 for superficial lesions.

Home Care Tips

Simple home care can aid in recovery.

• Avoid soaking the incision in water until healed.
• Monitor for signs of infection, such as increased redness or discharge.
• Apply ice packs to reduce swelling if needed.

Patient Education & Prevention

Educating patients can help prevent recurrence.

• 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: 23190

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 facility and complexity.
• Most insurance plans cover the procedure if deemed medically necessary.

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.
• 11406 - Excision, benign skin lesion; face, ears, scalp, neck, excised diameter over 4.0 cm