Overview of CPT Code 23331: Excision of benign skin lesion, shoulder

Overview of CPT Code 23331: Excision of benign skin lesion, shoulder

CPT Code 23331 refers to the surgical excision of a benign skin lesion located on the shoulder. This procedure is performed to remove non-cancerous growths that may cause discomfort, cosmetic concerns, or potential complications.

When CPT Code 23331 is Used?

This code is applicable in various clinical scenarios.

• Presence of a benign skin lesion on the shoulder causing discomfort.
• Lesion exhibiting changes in size, color, or shape.
• Patient's request for removal for cosmetic reasons.
• Lesion suspected to be pre-cancerous or requiring histological examination.

Symptoms Indicating This Procedure

Patients may report several symptoms that warrant this procedure.

• Visible growth or bump on the shoulder.
• Itching or irritation around the lesion.
• Bleeding or oozing from the lesion.
• Pain or tenderness in the area of the lesion.

Causes and Risk Factors

Understanding the causes and risk factors can help in prevention.

• Genetic predisposition to skin lesions.
• Sun exposure leading to skin changes.
• History of skin injuries or infections.
• Certain skin conditions like seborrheic keratosis.

Diagnostic Tests Before Procedure

Several tests may be conducted to confirm the need for excision.

• Physical examination of the lesion.
• Dermatoscopy to assess the lesion's characteristics.
• Biopsy if malignancy is suspected.

Procedure Description

The excision procedure follows a systematic approach.

• Patient is positioned comfortably and the shoulder area is cleaned.
• Local anesthesia is administered to numb the area.
• A scalpel is used to excise the lesion along with a margin of healthy tissue.
• The wound is closed with sutures or adhesive strips.
• Dressing is applied to protect the area.

Preparation for the Procedure

Proper preparation is essential for a smooth procedure.

• Avoid blood thinners like aspirin a week prior.
• Inform the doctor about any allergies or medications.
• Arrive with clean skin, free of lotions or creams.
• Arrange for transportation post-procedure 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 that may stress the shoulder.
• Follow up for suture removal as directed.

Possible Complications

While complications are rare, they can occur.

• Infection at the excision site.
• 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

Regular follow-up is important for monitoring recovery.

• Initial follow-up within 1-2 weeks for suture removal.
• Monitor for signs of infection or complications.
• Schedule additional visits as needed based on healing progress.

Alternative Treatments

There are non-surgical options available.

• Cryotherapy to freeze the lesion.
• Laser therapy for superficial lesions.
• Topical treatments for certain benign skin conditions.

Home Care Tips

Simple tips can aid in recovery.

• Keep the excision site clean and dry.
• Avoid picking at scabs or sutures.
• Use over-the-counter pain relief as needed.
• Stay hydrated and maintain a balanced diet.

Patient Education & Prevention

Education is key to preventing future lesions.

• Regular skin checks for new or changing lesions.
• Use sunscreen to protect skin from UV damage.
• Avoid excessive sun exposure, especially during peak hours.
• Consult a dermatologist for any skin concerns.

Billing and Coding Information

CPT Code: 23331

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 $1,000.
• Insurance typically covers excision if deemed medically necessary.
• Out-of-pocket costs depend on the insurance plan and deductible.

Related CPT Codes

• 11100 - Biopsy of skin, single lesion
• 11400 - Excision, benign skin lesion, face, ears, scalp, neck; excised diameter over 4.0 cm.
• 12001 - Simple Repair of Laceration, Face, Ears, Eyelids, Nose
• 17000 - Destruction of benign skin lesions