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Shaving of epidermal or dermal lesion, single lesion, scalp, neck, hands, feet, genitalia; lesion diameter 0.5 cm or less

CPT4 code

Name of the Procedure:

Shaving of epidermal or dermal lesion, single lesion, scalp, neck, hands, feet, genitalia; lesion diameter 0.5 cm or less

Summary

This procedure involves the removal of a small lesion on the scalp, neck, hands, feet, or genitalia using a shaving technique. It targets lesions with a diameter of 0.5 cm or less to improve skin appearance or health.

Purpose

This procedure addresses benign or suspicious skin lesions that may cause concern. The goal is to remove the lesion safely and provide a tissue sample for pathology if needed.

Indications

  • Presence of a small lesion on the scalp, neck, hands, feet, or genitalia.
  • Lesion causing discomfort, cosmetic concern, or suspicion of malignancy.

Preparation

  • Follow any specific instructions given by your healthcare provider.
  • No need for fasting.
  • Inform the doctor of any medications being taken, especially blood thinners.
  • Pre-procedure examination of the lesion.

Procedure Description

  1. Cleaning the area with antiseptic solution.
  2. Local anesthesia is administered to numb the area.
  3. Using a sterile blade or razor, the lesion is carefully shaved off at skin level.
  4. Application of a dressing or bandage to the area.

Duration

The procedure typically takes about 20 to 30 minutes.

Setting

Usually performed in an outpatient clinic or dermatology office.

Personnel

  • Dermatologist or trained healthcare professional.
  • Nursing staff for assistance.

Risks and Complications

  • Minor bleeding
  • Infection at the site
  • Scarring
  • Possible need for additional treatment if the lesion is not completely removed

Benefits

  • Removal of unwanted or suspicious lesions.
  • Reduced discomfort and improved cosmetic appearance.
  • Quick healing with minimal downtime.

Recovery

  • Keep the area clean and dry.
  • Follow any specific wound care instructions provided by the healthcare provider.
  • Typically, recovery takes about 1 to 2 weeks.
  • Schedule follow-up to check for healing and review pathology results.

Alternatives

  • Cryotherapy (freezing the lesion)
  • Laser therapy
  • Excisional biopsy
  • Each alternative has its own benefits and risks, which should be discussed with your healthcare provider.

Patient Experience

Patients may feel a pinch with the numbing injection but should not feel pain during the shaving. After the procedure, there may be mild discomfort or tenderness, manageable with over-the-counter pain relief if needed.

Medical Policies and Guidelines for Shaving of epidermal or dermal lesion, single lesion, scalp, neck, hands, feet, genitalia; lesion diameter 0.5 cm or less

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