Overview of CPT Code 17108: Destruction of benign skin lesions, up to 14 lesions

CPT Code 17108 refers to the medical procedure for the destruction of benign skin lesions, specifically targeting up to 14 lesions in a single session. This procedure is commonly performed by dermatologists and is essential for managing non-cancerous skin growths that may cause discomfort or cosmetic concerns.

When CPT Code 17108 is Used?

This code is applicable in various clinical scenarios where benign skin lesions require treatment.

Presence of multiple benign skin lesions causing irritation or discomfort.
Lesions that are cosmetically unappealing to the patient.
Skin lesions that are symptomatic, such as itching or bleeding.
Lesions that have changed in appearance and need to be removed for further evaluation.

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 lesions.
Bleeding or oozing from the lesions.
Changes in color or size of the lesions.
Discomfort or pain associated with the lesions.

Causes and Risk Factors

Understanding the causes and risk factors can help in the prevention and management of benign skin lesions.

Genetic predisposition to skin growths.
Sun exposure leading to skin changes.
Hormonal changes affecting skin health.
Chronic skin conditions such as eczema or psoriasis.

Diagnostic Tests Before Procedure

Certain diagnostic tests may be performed to ensure the appropriateness of the procedure.

Physical examination of the skin lesions.
Dermatoscopy to assess the characteristics of the lesions.
Biopsy of suspicious lesions to rule out 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 physician uses cryotherapy, electrosurgery, or laser therapy to destroy the lesions.
The area is treated with a topical antibiotic and covered with a bandage.
Post-procedure instructions are provided to the patient.

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 topical treatments on the lesions prior to the procedure.
Arrive at the appointment with clean skin, free of makeup or lotions.

Recovery and Aftercare

Post-procedure care is crucial for optimal healing.

Expect minor swelling and redness at the treatment site.
Keep the area clean and dry; follow wound care instructions.
Avoid sun exposure on the treated area until healed.
Use over-the-counter pain relief if necessary.

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 lesions in the treated area.

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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.
Monitor the treatment area for signs of infection or complications.
Discuss any concerns or changes in the lesions with the physician.

Alternative Treatments

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

Topical treatments such as corticosteroids or retinoids.
Cryotherapy using liquid nitrogen for freezing lesions.
Laser therapy for targeted destruction of lesions.
Observation for lesions that are asymptomatic and stable.

Home Care Tips

Patients can take simple steps to aid recovery at home.

Keep the treated area clean and dry.
Avoid picking at scabs or lesions during healing.
Use sunscreen to protect the area from UV exposure.
Follow all aftercare instructions provided by the physician.

Patient Education & Prevention

Educating patients on prevention can help reduce recurrence.

Regular skin checks for new or changing lesions.
Use sunscreen daily to protect against sun damage.
Maintain a healthy lifestyle to support skin health.
Consult a dermatologist for any concerns about skin changes.

Billing and Coding Information

CPT Code: 17108

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 location and insurance coverage.

Average cost ranges from $150 to $500 depending on the number of lesions and location.
Most insurance plans cover the procedure if deemed medically necessary.
Patients should verify coverage with their insurance provider prior to the procedure.