Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter over 2.0 cm
CPT4 code
Name of the Procedure:
Shaving of Epidermal or Dermal Lesion, Single Lesion, Trunk, Arms, or Legs (Lesion Diameter Over 2.0 cm)
Summary
This procedure involves removing a single skin lesion from the trunk, arms, or legs by shaving it off. It is typically performed on lesions larger than 2.0 cm in diameter.
Purpose
The purpose of this procedure is to remove skin lesions that may be causing discomfort, cosmetic concerns, or show potential signs of cancer. The goal is to remove the lesion completely while minimizing scarring and promoting skin healing.
Indications
- Skin lesions larger than 2.0 cm which may include moles, warts, or other noncancerous growths.
- Lesions that are suspicious for malignancy or have changed in appearance.
- Lesions causing physical discomfort or psychological distress.
Preparation
- Follow instructions to clean the affected area thoroughly.
- Inform the doctor of any medications or allergies.
- No fasting required.
- May require a biopsy or imaging tests to assess the lesion prior to the procedure.
Procedure Description
- The area around the lesion is cleaned and sterilized.
- Local anesthesia is administered to numb the area.
- A sterile blade or razor is used to shave off the lesion carefully.
- Hemostasis is achieved to stop any minor bleeding.
- The area is cleaned again and dressed with a sterile bandage.
Duration
The procedure typically takes about 20 to 30 minutes.
Setting
This procedure is usually performed in an outpatient clinic or a doctor's office.
Personnel
The procedure is typically performed by a dermatologist or a trained medical practitioner, with assistance from a nurse.
Risks and Complications
- Common risks include minor bleeding, infection, and scarring.
- Less common risks include nerve damage or allergic reaction to anesthesia.
- Complications are managed with antiseptic measures, wound care, and antibiotics if necessary.
Benefits
- Effective removal of the skin lesion.
- Minimal scarring compared to other methods.
- Quick recovery time with minimal discomfort.
Recovery
- Keep the wound clean and dry.
- Follow instructions for changing the bandage.
- Avoid strenuous activity for a few days.
- Expect full healing within 1-2 weeks.
- Follow-up appointment may be needed to check the healing.
Alternatives
- Cryotherapy: Freezing the lesion off.
- Laser removal: Using laser light to remove the lesion.
- Excisional surgery: Cutting out the lesion with a margin of healthy skin.
- Alternatives may involve longer recovery time or more noticeable scarring.
Patient Experience
- You may feel a light pinch or pressure from the local anesthesia.
- Post-procedure, the area may be tender or slightly sore.
- Pain is usually manageable with over-the-counter pain relievers and subsides within a few days.
- Proper wound care ensures comfort and promotes faster healing.