Overview of CPT Code 17104: Destruction of benign skin lesions, face, ears, scalp, neck

CPT Code 17104 refers to the medical procedure for the destruction of benign skin lesions located on the face, ears, scalp, or neck. This procedure is typically performed to remove non-cancerous growths that may cause cosmetic concerns or discomfort.

When CPT Code 17104 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 several symptoms that lead to the consideration of this procedure.

Visible skin growths that are raised or discolored.
Itching or irritation at the site of the lesion.
Bleeding or oozing from the lesion.
Changes in the texture or appearance of the skin lesion.

Causes and Risk Factors

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

Sun exposure leading to skin damage.
Genetic predisposition to skin lesions.
Age-related skin changes.
History of skin conditions or previous lesions.

Diagnostic Tests Before Procedure

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

Physical examination of the skin 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 and the area is cleaned.
Local anesthesia is administered to minimize discomfort.
The benign lesion is treated using methods such as cryotherapy, electrosurgery, or laser therapy.
The area is cleaned again and a dressing may be applied.

Preparation for the Procedure

Proper preparation can enhance the effectiveness of 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 and neck, free of makeup.

Recovery and Aftercare

Post-procedure care is crucial for optimal healing.

Keep the treated area clean and dry.
Apply prescribed ointments to promote healing.
Avoid sun exposure and use sunscreen on the 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 treatment site.
Scarring or changes in skin pigmentation.
Allergic reactions to topical medications.
Recurrence of the lesion.

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Post-Procedure Follow-Up

Follow-up appointments are important for monitoring recovery.

Initial follow-up within 1-2 weeks to assess healing.
Further follow-ups as needed based on the healing process.
Regular skin checks for new lesions or changes.

Alternative Treatments

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

Topical treatments such as retinoids or chemical peels.
Cryotherapy using liquid nitrogen for freezing lesions.
Observation for lesions that are not symptomatic.

Home Care Tips

Simple home care can aid in recovery.

Keep the area clean and avoid touching it.
Use gentle cleansers and avoid harsh scrubs.
Stay hydrated and maintain a healthy diet to support skin health.

Patient Education & Prevention

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

Regularly use sunscreen to protect against UV damage.
Perform self-examinations to monitor skin changes.
Seek dermatological advice for any new or changing lesions.

Billing and Coding Information

CPT Code: 17104

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.