Overview of CPT Code 23355: Excision of benign skin lesion, shoulder

Overview of CPT Code 23355: Excision of benign skin lesion, shoulder

CPT Code 23355 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 23355 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.
• Lesions that have changed in appearance or size.
• Lesions that may be at risk of becoming infected or ulcerated.

Symptoms Indicating This Procedure

Patients may report several symptoms that warrant this procedure.

• A noticeable lump or bump on the shoulder.
• Itching or irritation at the site of the lesion.
• Changes in color or size of the lesion.
• Bleeding or oozing from 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.
• Previous 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 there is suspicion of malignancy.

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 site.

Preparation for the Procedure

Proper preparation is essential for a smooth procedure.

• Avoid blood thinners like aspirin a week before the procedure.
• Inform the doctor about any allergies or medications.
• Arrive at the facility with clean skin, free of lotions or oils.
• Arrange for transportation if sedation is used.

Recovery and Aftercare

Post-procedure care is crucial for healing.

• Rest for the first 24 hours post-surgery.
• Keep the wound clean and dry for at least a week.
• Change the dressing as instructed by the healthcare provider.
• Take prescribed pain medications as needed.

Possible Complications

While complications are rare, they can occur.

• Infection at the excision site.
• Excessive bleeding during or after the procedure.
• Scarring or changes in skin pigmentation.
• Recurrence of the lesion.

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Post-Procedure Follow-Up

Follow-up is important to monitor healing.

• Schedule a follow-up appointment within 1-2 weeks.
• Monitor for signs of infection or complications.
• Discuss pathology results if a biopsy was performed.

Alternative Treatments

There are non-surgical options available.

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

Home Care Tips

Simple tips can aid in recovery.

• Avoid picking at the wound.
• Use mild soap and water to clean the area.
• Apply a moisturizer to prevent dryness.
• Wear loose clothing to avoid irritation.

Patient Education & Prevention

Education can help prevent 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.
• Maintain a healthy skin care routine.

Billing and Coding Information

CPT Code: 23355

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 may cover the procedure if deemed medically necessary.
• Out-of-pocket costs depend on the patient's insurance plan.

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