Overview of CPT Code 17004:destruction-of-benign-skin-lesions-15-or-more-lesions

CPT Code 17004 refers to the destruction of 15 or more benign skin lesions. This procedure is commonly performed in dermatology to remove non-cancerous growths that may cause cosmetic concerns or discomfort.

When CPT Code 17004 is Used?

This code is applicable in various clinical scenarios.

Multiple benign skin lesions present on the body.
Lesions causing irritation or discomfort.
Cosmetic concerns regarding the appearance of skin lesions.
Lesions that have changed in appearance or size.

Symptoms Indicating This Procedure

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

Itching or irritation at the site of lesions.
Bleeding or oozing from lesions.
Changes in color or size of existing lesions.
Cosmetic concerns regarding the appearance of skin lesions.

Causes and Risk Factors

Several factors can contribute to the development of benign skin lesions.

Genetic predisposition to skin growths.
Sun exposure leading to skin changes.
Age-related skin changes.
Certain skin conditions like seborrheic keratosis.

Diagnostic Tests Before Procedure

Before proceeding with the destruction of skin lesions, certain diagnostic tests may be performed.

Physical examination of the lesions.
Dermatoscopy to assess the characteristics of the lesions.
Biopsy if there is suspicion of malignancy.

Procedure Description

The procedure involves several key steps to ensure effective treatment.

Patient is positioned comfortably.
Area around the lesions is cleaned and sterilized.
Local anesthesia is administered to minimize discomfort.
Destruction method (cryotherapy, electrosurgery, or laser) is applied to each lesion.
Lesions are monitored for immediate response.
Post-procedure care instructions are provided.

Preparation for the Procedure

Patients should follow specific guidelines to prepare for the procedure.

Avoid blood thinners for a week prior to the procedure.
Inform the physician of any allergies or medications.
Arrive with clean skin, free of lotions or creams.
Plan for someone to drive you home if sedation is used.

Recovery and Aftercare

Post-procedure recovery is generally straightforward.

Expect minor swelling and redness at the treatment site.
Keep the area clean and dry.
Apply prescribed ointments as directed.
Avoid sun exposure on the treated areas.

Possible Complications

While complications are rare, they can occur.

Infection at the treatment site.
Scarring or changes in skin pigmentation.
Allergic reactions to topical medications.
Incomplete removal of lesions requiring further treatment.

Secure, compliant, and built for trust

HIPAA-compliant and designed with privacy in mind, your patient’s data is protected. Focus on care while we safeguard your information.

Learn more

Post-Procedure Follow-Up

Follow-up care is essential for monitoring recovery.

Schedule a follow-up appointment within 1-2 weeks.
Monitor for signs of infection or unusual changes.
Discuss any concerns regarding healing or appearance.

Alternative Treatments

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

Topical treatments for specific skin conditions.
Cryotherapy for localized lesions.
Observation for lesions that are asymptomatic.

Home Care Tips

Patients can take steps at home to aid recovery.

Keep the area clean and dry.
Avoid picking at scabs or lesions.
Use sunscreen to protect healing skin.
Stay hydrated and maintain a healthy diet.

Patient Education & Prevention

Educating patients on skin health is crucial.

Regular skin checks for new or changing lesions.
Use of sunscreen to prevent sun damage.
Avoiding tanning beds and excessive sun exposure.
Consulting a dermatologist for any concerns.

Billing and Coding Information

CPT Code: 17004

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.

Average Cost and Insurance Coverage

Costs can vary based on several factors.

Average cost ranges from $200 to $800 depending on the number of lesions and location.
Most insurance plans cover the procedure if deemed medically necessary.
Out-of-pocket costs may apply depending on the insurance plan.