Overview of CPT Code 17250: Destruction of benign skin lesions, excised

Overview of CPT Code 17250: Destruction of benign skin lesions, excised

CPT Code 17250 refers to the procedure for the destruction of benign skin lesions that are excised. This procedure is typically performed to remove non-cancerous growths on the skin, which may cause discomfort, cosmetic concerns, or potential complications.

When CPT Code 17250 is Used?

This code is applicable in various clinical scenarios.

• Removal of benign moles that are symptomatic or cosmetically undesirable.
• Excision of seborrheic keratosis that may be irritated or inflamed.
• Destruction of dermatofibromas that are causing discomfort.
• Treatment of skin tags that are bothersome or frequently snagged.

Symptoms Indicating This Procedure

Patients may report several symptoms that warrant this procedure.

• 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.
• Discomfort or pain associated with the lesion.

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.
• Hormonal changes that may promote skin lesions.

Diagnostic Tests Before Procedure

Certain tests may be conducted to confirm the need for this procedure.

• Physical examination of the lesion by a healthcare provider.
• Dermatoscopy to assess the characteristics of the lesion.
• Biopsy if there is any suspicion of malignancy.

Procedure Description

The procedure involves several key steps.

• Patient is positioned comfortably and the area is cleaned.
• Local anesthesia is administered to numb the area.
• The benign lesion is excised using a scalpel or other surgical instrument.
• The area is inspected for any remaining tissue.
• The wound is closed with sutures or left to heal naturally, depending on the size.

Preparation for the Procedure

Patients should follow specific guidelines before the procedure.

• Avoid blood-thinning medications for a few days prior to the procedure.
• Inform the healthcare provider of any allergies, especially to anesthetics.
• Arrive with clean skin, free of lotions or creams.

Recovery and Aftercare

Post-procedure care is essential for optimal healing.

• Keep the area clean and dry for the first few days.
• Apply prescribed ointment to promote healing.
• Avoid sun exposure on the treated area until fully healed.
• Follow up with the healthcare provider as directed.

Possible Complications

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

• Infection at the site of excision.
• Scarring or changes in skin pigmentation.
• Recurrence of the lesion if not completely removed.
• Allergic reaction to anesthesia.

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Post-Procedure Follow-Up

Monitoring after the procedure is important.

• Schedule a follow-up appointment within 1-2 weeks to assess healing.
• Contact the healthcare provider if there are signs of infection.
• Discuss any concerns regarding the appearance of the excised area.

Alternative Treatments

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

• Cryotherapy to freeze off the lesion.
• Laser therapy for targeted destruction of the lesion.
• Topical treatments for certain types of benign growths.

Home Care Tips

Patients can take steps at home to aid recovery.

• Keep the excision site clean and dry.
• Avoid picking at scabs or the healing area.
• Use sunscreen on the area once healed to prevent discoloration.

Patient Education & Prevention

Understanding prevention can help reduce recurrence.

• Regular skin checks for new or changing lesions.
• Use sunscreen to protect skin from UV damage.
• Maintain a healthy lifestyle to support skin health.

Billing and Coding Information

CPT Code: 17250

Category: Surgical Procedures

Common Modifiers:

• 50 (Bilateral procedure)
• 59 (Distinct procedural service)

Average Cost and Insurance Coverage

Costs can vary based on several factors.

• Average cost ranges from $150 to $500 depending on the complexity.
• Most insurance plans cover the procedure if deemed medically necessary.
• Out-of-pocket costs may apply depending on the insurance policy.

Related CPT Codes

• 17110 - Destruction of benign skin lesions, up to 14 lesions
• 17111 - Destruction of benign skin lesions, up to 14 lesions
• 11400 - Excision, benign skin lesion, face, ears, scalp, neck; excised diameter over 4.0 cm.
• 11401 - Excision, benign skin lesion, face, ears, scalp, neck; excised diameter over 4.0 cm.
• 11402 - Excision, benign skin lesion, face, ears, scalp, neck; excised diameter over 4.0 cm.

References and Sources

• American Academy of Dermatology
• Mayo Clinic - Skin Lesions