Overview of CPT Code 17261: Destruction of skin lesion, excised

CPT Code 17261 refers to the excision and destruction of a skin lesion. This procedure is typically performed to remove lesions that may be cancerous or pose a risk to the patient's health.

When CPT Code 17261 is Used?

This code is applicable in various clinical scenarios.

Removal of malignant skin lesions such as basal cell carcinoma or squamous cell carcinoma.
Excision of benign skin lesions that are symptomatic or cosmetically concerning.
Lesions that have changed in appearance or have been diagnosed as precancerous.

Symptoms Indicating This Procedure

Patients may report several symptoms that necessitate this procedure.

A skin lesion that is growing or changing in appearance.
Persistent itching or bleeding from a skin lesion.
Lesions that are painful or causing discomfort.

Causes and Risk Factors

Understanding the causes and risk factors can help in prevention.

Excessive sun exposure leading to skin damage.
Family history of skin cancer.
Weakened immune system or previous skin cancer diagnosis.

Diagnostic Tests Before Procedure

Certain tests may be conducted to confirm the need for excision.

Skin biopsy to determine the nature of the lesion.
Dermatoscopy to examine the lesion in detail.
Imaging studies if deeper tissue involvement is suspected.

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 lesion is excised using a scalpel or surgical tool.
The wound is closed with sutures or left to heal naturally.
Post-procedure care instructions are provided.

Preparation for the Procedure

Patients should follow specific guidelines before the procedure.

Avoid blood thinners or anti-inflammatory medications prior to the procedure.
Inform the physician of any allergies or medical conditions.
Arrive with clean skin and avoid applying lotions or creams.

Recovery and Aftercare

Post-procedure recovery is crucial for healing.

Keep the area clean and dry for the first few days.
Change dressings as instructed by the healthcare provider.
Monitor for signs of infection such as increased redness or discharge.

Possible Complications

While generally safe, there are potential risks.

Infection at the site of excision.
Scarring or changes in skin pigmentation.
Recurrence of the lesion if not completely excised.

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Post-Procedure Follow-Up

Follow-up is essential to ensure proper healing.

Schedule a follow-up appointment within 1-2 weeks to assess healing.
Regular skin checks for new lesions or changes in existing ones.
Discuss pathology results if a biopsy was performed.

Alternative Treatments

There are non-surgical options available.

Cryotherapy for superficial lesions.
Topical chemotherapy for certain skin cancers.
Laser therapy for benign lesions.

Home Care Tips

Patients can take steps to aid recovery at home.

Avoid sun exposure on the treated area until healed.
Use gentle cleansers and moisturizers as needed.
Follow all post-operative care instructions provided.

Patient Education & Prevention

Education is key to preventing skin lesions.

Regular skin checks for early detection of changes.
Use sunscreen to protect against UV damage.
Avoid tanning beds and excessive sun exposure.

Billing and Coding Information

CPT Code: 17261

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.