Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 0.6 to 1.0 cm
CPT4 code
Name of the Procedure:
Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous membrane (lesion diameter 0.6 to 1.0 cm)
Summary
This procedure involves the removal of a small lesion on the face, ears, eyelids, nose, lips, or mucous membrane by shaving it off. It is typically done to remove unwanted or problematic skin growths.
Purpose
The procedure addresses issues such as skin tags, moles, warts, or other benign skin lesions that may be causing discomfort, cosmetic concerns, or have a risk of malignancy. The goal is to remove the lesion while minimizing scarring and ensuring a smooth appearance.
Indications
- Presence of benign skin lesions such as moles, warts, or skin tags that are causing irritation or discomfort.
- Lesions that are cosmetically displeasing.
- Suspicion of a lesion that could potentially be malignant (pre-cancerous growths).
Preparation
- Patients may be advised to stop taking certain medications like blood thinners.
- It is generally not required to fast before the procedure.
- The area to be treated will be assessed and cleaned before the procedure.
Procedure Description
- The area around the lesion is cleaned and sterilized.
- Local anesthesia is administered to numb the area.
- Using a specialized surgical instrument, the healthcare provider shaves off the lesion at the level of the surrounding skin.
- The wound is treated to stop any bleeding and may be covered with a small bandage.
Duration
The procedure typically takes about 15 to 30 minutes.
Setting
The procedure is usually performed in an outpatient setting, such as a dermatologist’s office or a minor surgical clinic.
Personnel
- Dermatologist or a trained healthcare provider performs the procedure.
- A nurse or medical assistant may assist.
Risks and Complications
- Common risks: bleeding, infection, and scarring.
- Rare risks: recurrence of the lesion, nerve damage, or allergic reaction to anesthesia.
- Management may include antibiotic ointment for infections or other appropriate clinical measures.
Benefits
- Removal of the unwanted lesion.
- Minimal scarring.
- Improved appearance and comfort.
Recovery
- Patients are typically able to go home immediately after the procedure.
- Post-procedure care may include keeping the area clean and protected with a bandage.
- Full recovery usually occurs within a few days to a week.
- Follow-up appointments may be scheduled to monitor healing.
Alternatives
- Cryotherapy (freezing the lesion off).
- Laser treatment.
- Topical medication (for some types of lesions).
- Each alternative has its pros and cons. For instance, some might leave scars or take longer to show results.
Patient Experience
- The patient will feel numbing in the treated area due to local anesthesia, minimizing pain during the procedure.
- Mild discomfort or stinging may occur after the anesthesia wears off.
- Pain management usually involves over-the-counter pain relievers and keeping the area clean and dry.
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