Overview of CPT Code 17002: Destruction of benign skin lesions, face, ears, scalp

CPT Code 17002 refers to the procedure for the destruction of benign skin lesions located on the face, ears, or scalp. This procedure is typically performed to remove non-cancerous growths that may cause cosmetic concerns or discomfort.

When CPT Code 17002 is Used?

This code is applicable in various clinical scenarios.

Presence of benign skin lesions such as seborrheic keratosis, actinic keratosis, or dermatofibromas.
Lesions causing irritation or discomfort.
Cosmetic concerns regarding the appearance of skin lesions.
Lesions that are changing in size or color, warranting removal.

Symptoms Indicating This Procedure

Patients may report various symptoms that lead to the consideration of this procedure.

Visible skin growths on the face, ears, or scalp.
Itching or irritation at the site of the lesion.
Bleeding or oozing from the lesion.
Changes in the appearance of the lesion, such as color or size.

Causes and Risk Factors

Understanding the causes and risk factors can help in prevention and early detection.

Sun exposure leading to actinic keratosis.
Genetic predisposition to certain skin lesions.
Age-related skin changes.
Skin type and history of skin damage.

Diagnostic Tests Before Procedure

Certain tests may be conducted to confirm the diagnosis before proceeding.

Physical examination of the lesion.
Dermatoscopy to assess the characteristics of the lesion.
Biopsy if there is uncertainty about the nature of the lesion.

Procedure Description

The procedure involves several key steps to ensure effective treatment.

Patient is positioned comfortably.
The area around the lesion is cleaned and sterilized.
Local anesthesia is administered to minimize discomfort.
The lesion is destroyed using cryotherapy, electrosurgery, or laser treatment.
The area is dressed appropriately after the procedure.

Preparation for the Procedure

Patients should follow specific guidelines to prepare for the procedure.

Avoid blood thinners and certain medications as advised by the physician.
Do not apply any creams or lotions to the area on the day of the procedure.
Arrive with a clean face, free of makeup or skincare products.

Recovery and Aftercare

Post-procedure care is crucial for optimal healing.

Keep the area clean and dry.
Apply prescribed ointments as directed.
Avoid sun exposure to the treated area.
Monitor for signs of infection such as increased redness or discharge.

Possible Complications

While generally safe, there are potential risks associated with the procedure.

Infection at the site of treatment.
Scarring or changes in skin pigmentation.
Recurrence of the lesion.
Allergic reactions to topical medications.

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Post-Procedure Follow-Up

Follow-up appointments are important for monitoring recovery.

Schedule a follow-up visit within 1-2 weeks post-procedure.
Assess healing and address any concerns.
Further treatment may be necessary if lesions recur.

Alternative Treatments

There are non-surgical options available for managing benign skin lesions.

Topical treatments such as 5-fluorouracil for actinic keratosis.
Cryotherapy using liquid nitrogen for superficial lesions.
Observation for lesions that are asymptomatic and stable.

Home Care Tips

Patients can take steps at home to support healing.

Keep the treated area clean and moisturized.
Avoid picking at scabs or lesions.
Use sunscreen to protect the area from UV damage.

Patient Education & Prevention

Educating patients on prevention can reduce the risk of future lesions.

Regular skin checks for new or changing lesions.
Use of sunscreen to protect against sun damage.
Avoiding tanning beds and excessive sun exposure.

Billing and Coding Information

CPT Code: 17002

Category: Surgical Procedures

Common Modifiers:

25 - Significant, separately identifiable evaluation and management service by the same physician on the same day of the procedure.
59 - Distinct procedural service.