Overview of CPT Code 23397: Excision of benign skin lesion, face, ears, scalp, neck

Overview of CPT Code 23397: Excision of benign skin lesion, face, ears, scalp, neck

CPT Code 23397 refers to the surgical excision of benign skin lesions located on the face, ears, scalp, or neck. This procedure is typically performed to remove lesions that are non-cancerous but may cause cosmetic concerns or discomfort.

When CPT Code 23397 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 itching or irritation.
• Cosmetic concerns regarding the appearance of the lesion.
• 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 skin lesions that are raised or discolored.
• Itching or irritation in the area of the lesion.
• Bleeding or oozing from the lesion.
• Changes in the size or shape 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.
• Age-related skin changes.
• Previous skin injuries or trauma.

Diagnostic Tests Before Procedure

Certain tests may be conducted to confirm the diagnosis.

• Physical examination of the lesion.
• Dermatoscopy to assess the characteristics of the lesion.
• Biopsy if there is uncertainty about the nature of the lesion.

Procedure Description

The excision procedure involves several key steps.

• 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.
• Post-operative care instructions are provided.

Preparation for the Procedure

Patients should follow specific guidelines before the procedure.

• Avoid blood thinners such as aspirin or ibuprofen for a week prior.
• Inform the doctor of any allergies or medical conditions.
• Arrive with clean skin, free of lotions or makeup.
• Arrange for transportation if sedation is used.

Recovery and Aftercare

Post-procedure recovery is crucial for healing.

• Keep the area clean and dry for the first few days.
• Change dressings as instructed by the healthcare provider.
• Avoid strenuous activities for at least a week.
• Monitor for signs of infection such as increased redness or discharge.

Possible Complications

While generally safe, there are potential risks.

• Infection at the site of excision.
• Scarring or changes in skin pigmentation.
• Recurrence of the lesion.
• Allergic reaction to anesthesia.

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Post-Procedure Follow-Up

Follow-up is essential to ensure proper healing.

• Schedule a follow-up appointment within 1-2 weeks.
• Monitor the healing process and suture removal if applicable.
• Report any unusual symptoms or concerns immediately.

Alternative Treatments

There are non-surgical options available.

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

Home Care Tips

Patients can take steps to aid recovery at home.

• Keep the excision site clean and dry.
• Avoid picking at scabs or lesions.
• Use sunscreen to protect the 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: 23397

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 $200 to $1,500 depending on complexity.
• Most insurance plans cover the procedure if deemed medically necessary.
• Out-of-pocket costs may apply depending on the insurance policy.

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.
• 11403 - Excision, benign skin lesion, face, ears, scalp; excised diameter over 4.0 cm.
• 11406 - Excision, benign skin lesion; face, ears, scalp, neck, excised diameter over 4.0 cm