Overview of CPT Code 17105: Destruction of Benign Skin Lesion(s), Face, Ears, Scalp

CPT Code 17105 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 lesions that are non-cancerous but may cause cosmetic concerns or discomfort.

When CPT Code 17105 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 symptomatic or have changed in appearance.

Symptoms Indicating This Procedure

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

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

Causes and Risk Factors

Understanding the causes and risk factors can help in prevention and management.

Sun exposure leading to skin damage.
Genetic predisposition to skin lesions.
Age-related changes in skin.
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 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 methods such as 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-thinning medications for a few days prior to the procedure.
Inform the physician about any allergies or medical conditions.
Arrive with clean skin, free of makeup or lotions.

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 on 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.

Typically scheduled 1-2 weeks after the procedure.
Assessment of healing and any complications.
Discussion of further treatment if necessary.

Alternative Treatments

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

Topical treatments such as creams or gels for actinic keratosis.
Observation for lesions that are asymptomatic.
Cryotherapy performed in a less invasive manner.

Home Care Tips

Patients can take steps at home to aid recovery.

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

Patient Education & Prevention

Education on prevention can help 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: 17105

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.