Overview of CPT Code 23350: Excision of benign skin lesion, shoulder

Overview of CPT Code 23350: Excision of benign skin lesion, shoulder

CPT Code 23350 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 23350 is Used?

This code is applicable in various clinical scenarios.

• Presence of a benign skin lesion causing discomfort or irritation.
• Lesions that are cosmetically unappealing to the patient.
• Suspicion of a benign lesion that requires histological examination.
• 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.

• Itching or irritation at the site of the lesion.
• Visible growth or change in the size of the lesion.
• Bleeding or oozing from the lesion.
• Pain or discomfort in the shoulder area.

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.
• Previous skin injuries or infections.
• Certain skin conditions like seborrheic keratosis.

Diagnostic Tests Before Procedure

Before the excision, certain diagnostic tests may be performed.

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

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.
• The surgeon makes an incision around the lesion.
• The lesion is carefully excised along with a margin of healthy tissue.
• The incision is closed with sutures or adhesive strips.

Preparation for the Procedure

Patients should follow specific guidelines before the procedure.

• Avoid blood thinners for a week prior to the procedure.
• Inform the surgeon of any allergies or medications.
• Arrive at the facility with clean skin and no makeup.
• Arrange for transportation home post-procedure.

Recovery and Aftercare

Post-procedure care is crucial for healing.

• Rest for the first 24 hours after the procedure.
• Keep the incision site clean and dry.
• Change dressings as instructed by the healthcare provider.
• Monitor for signs of infection such as increased redness or discharge.

Possible Complications

While generally safe, there are potential risks involved.

• Infection at the incision site.
• Scarring or changes in skin pigmentation.
• Bleeding or hematoma formation.
• Recurrence of the lesion.

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 essential to ensure proper healing.

• Schedule a follow-up appointment within 1-2 weeks.
• Review pathology results if a biopsy was performed.
• Assess healing and remove sutures if necessary.

Alternative Treatments

There are non-surgical options available for managing benign lesions.

• Topical treatments for superficial lesions.
• Cryotherapy to freeze off the lesion.
• Laser therapy for cosmetic concerns.

Home Care Tips

Patients can take steps at home to aid recovery.

• Avoid strenuous activities for a few days.
• Keep the area moisturized as advised.
• Use over-the-counter pain relief if needed.
• Follow all post-operative instructions carefully.

Patient Education & Prevention

Educating patients can help prevent 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.
• Maintain a healthy skin care routine.

Billing and Coding Information

CPT Code: 23350

Category: Surgery

Common Modifiers:

• 50 (bilateral procedure)
• RT (right side)
• LT (left side)

Average Cost and Insurance Coverage

Costs can vary based on several factors.

• Average cost ranges from $300 to $1,500.
• Insurance may cover the procedure if deemed medically necessary.
• Check with your insurance provider for specific coverage details.

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
• 17110 - Destruction of benign skin lesions, up to 14 lesions