Skin Tag Removal
Review the patient’s chart for potential complicating factors, e.g. keloid scars, bleeding disorders (e.g. von Willebrand), previous surgical complications, allergies to betadine/latex, current antiplatelet/anticoagulant medications, etc.
Set-up the procedure room by ensuring all necessary materials are present and easily accessible. Prepare for both cryosurgery and electrocautery.
Materials: Consent form, gloves, skin marker, six inch cotton swabs, container with liquid nitrogen, betadine, alcohol swab, lidocaine 2% with epinephrine, 3 mL syringe, 16 gauge needle (gray), 20 gauge needle (pink), blunt dermal Bovie tip, Bovie electrosurgery device, flat forceps, specimen container with formalin, 4x4 gauze, aluminum chloride 10% solution, bacitracin, adhesive bandage.
Identify the lesion(s) to be removed and appropriate surgical method:
Multiple lesions: Place a mark beside each target lesion with a skin marker. Measure and record each lesions’ size and location. Do not remove more than 15 lesions for safety and billing purposes (see notes).
ONLY use cryosurgery for unequivocally benign lesions. Do NOT use cryosurgery for lesions with asymmetry, uneven borders, pigmentation, diameter ≥ 6 mm, and/or recent change in appearance.
Any lesions with concerning characteristics (see italics above) should be removed with electrocautery and sent for biopsy. Label specimen container(s) and place tissue biopsy order(s) before proceeding.
Consent the patient for the procedure. Discuss risk for pain, bleeding, infection, injury to surrounding tissue, temporary swelling, permanent scarring. Inform patient that reactive scaring may may produce a lesion larger than the one removed. Inform the patient that multiple rounds of cryotherapy may be required to remove a lesion.
Cryosurgery Method
Submerse the cotton swabs in liquid nitrogen.
Place the cotton swabs on either side to of the lesion peduncle and compress until it frosts. Repeat 2-3 times.
Complete a procedure note and bill the procedure (see notes).
Electrocautery Method
Identify the lesion to be removed.
Clean area with betadine. Do NOT use alcohol swabs as alcohol can ignite and burn the patient.
Prepare anesthetic (lidocaine 2% with epinephrine): Clean bottle top with alcohol swab. Insert 3 mL syringe with 16 gauge needle and fill syringe. Remove the 16 gauge needle (discard in sharp bin) and attach a 25 gauge needle. Insert the syringe bevel-deep at the lesion edge. Draw back and insure no blood enters the needle before injecting to form a wheel under the lesion. Wait 7 minutes for lidocaine and epinephrine to take effect.
Affix a blunt dermal tip to the Bovie pencil. Turn on the electrosurgery generator and set the device to 3.0.
Pinch the skin tag with forceps to ensure appropriate anesthesia. Use the forceps to lift the lesion away from the skin. Use the Bovie pencil to remove the lesion.
Place the lesion in a formalin specimen container.
Have 4x4 gauze and aluminum chloride 10% solution available for hemostasis if necessary. Alternatively, increase the Bovie to 6.0 to use it as electrocautery.
Cover the surgical site with bacitracin and an adhesive bandage.
Verify the tissue biopsy is labeled and give it to the appropriate staff member.
Complete a procedure note, log the biopsy, and bill the procedure (see notes).
Call the patient once biopsy results are received and document the conversation.
Notes
Local anesthesia
Do NOT apply lidocaine with epinephrine to peripheral appendages, e.g. fingers, toes, penis.
Conservatively, the maximum recommended topical lidocaine dose is 4.5 mg/kg per session, not to exceed 300 mg. (The 300 mg limit applies to patients ≥ 67 kg.) For 2% lidocaine (20 mg lidocaine per mL), 15 mL solution contains 300 mg lidocaine. Reserving up to 1 mL topical anesthetic per lesion, this results in a maximum of 15 lesions removed per session. Fifteen is also the maximum number of lesions that can be billed under CPT 11200 (see below).
Bill each skin tag removed (up to 15 lesions) as 11200. For example, removal of 5 skin tags will be billed as 11200, 11200, 11200, 11200, 11200.