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EDICAL

Source: www.careallies.com
Topic: Skin Tags
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Sort Desciption: Skin tag removal is considered medically necessary when there is documentation from the physician that the lesion has been subject to irritation/trauma resulting in inflammation, bleeding or infection. ...

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Skin tag removal is considered medically necessary when there is documentation from the physician that the lesion has been subject to irritation/trauma resulting in inflammation, bleeding or infection.

General Background

Skin tags, or acrochordons, are benign, soft, fleshy tumors that typically appear in adulthood (i.e., age 60 and over). They are found in 25% of the population and more common in women. The underlying cause is unknown, but may be hereditary. These skin lesions are flesh-colored or hyperpigmented, often pedunculated (i.e., attached to the skin by a thin stalk), and usually occur on the eyelids, neck, axillae or groin.

Skin tag lesions are composed of hyperplastic epidermis covering a dermal connective tissue stalk. They often appear in multiple numbers and may vary in size from one millimeter to one centimeter in diameter. Skin tags may be associated with seborrheic keratosis, a benign hyperkeratotic lesion of the epidermis. Lesions can increase in size and number with pregnancy or weight gain. It is not unusual for skin tags to return after removal. Due to the benign nature of skin tags, they rarely require pathologic examination.

In the majority of cases, skin tags are asymptomatic, benign and require no intervention. Patients often seek treatment because of the unsightly appearance of skin tags, requesting removal solely for cosmetic purposes. In some limited cases, skin tags may be subject to repeated local trauma or irritation resulting in chronic inflammation, pain, bleeding or localized infection. In these situations intervention may be medically necessary.

Medical treatment of skin tags includes avoidance of recurrent trauma or irritation (e.g., avoiding irritating jewelry or tight-fitting clothes) and the application of topical medications such as an antibiotic ointment.

Surgical treatment of skin tags includes excision with scissors, cautery or cryotherapy with liquid nitrogen. Skin tag removal is considered cosmetic in nature and not medically necessary when performed solely to improve appearance or to treat psychological symptomatology or psychosocial complaints.

Summary

Skin tags, or acrochordons, are fleshy tumors composed of hyperplastic epidermis covering a dermal connective tissue stalk. Most are asymptomatic and benign requiring no intervention. If signs of irritation, inflammation, bleeding, and/or infection are persistent, medical or surgical intervention would be indicated.

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