Overview of CPT Code 17264: Destruction of malignant skin lesion, face, ears, scalp

CPT Code 17264 refers to the medical procedure for the destruction of malignant skin lesions located on the face, ears, or scalp. This procedure is typically performed to remove cancerous growths and prevent the spread of skin cancer.

When CPT Code 17264 is Used?

This code is applicable in various clinical scenarios.

Presence of a malignant skin lesion on the face, ears, or scalp.
Lesions that are confirmed to be cancerous through biopsy.
Lesions that pose a risk of metastasis or further skin damage.
Patient preference for removal due to cosmetic concerns.

Symptoms Indicating This Procedure

Patients may report several symptoms that lead to this procedure.

Visible growths or lesions on the skin that change in size or color.
Itching, bleeding, or oozing from the lesion.
Pain or discomfort in the area of the lesion.
Lesions that do not heal or recur after treatment.

Causes and Risk Factors

Understanding the causes and risk factors can help in prevention.

Excessive sun exposure leading to skin damage.
History of skin cancer in the patient or family.
Weakened immune system due to conditions like HIV or medications.
Fair skin type that is more susceptible to UV damage.

Diagnostic Tests Before Procedure

Certain tests may be conducted to confirm the diagnosis.

Skin biopsy to confirm malignancy.
Dermatoscopy to examine the lesion in detail.
Imaging tests if there is suspicion of deeper tissue involvement.

Procedure Description

The procedure involves several key steps.

Patient is positioned comfortably and the area is cleaned.
Local anesthesia is administered to minimize discomfort.
The malignant lesion is carefully excised or destroyed using cryotherapy, electrosurgery, or laser treatment.
The area is cleaned again and dressed appropriately.

Preparation for the Procedure

Patients should follow these steps before the procedure.

Avoid blood thinners and certain medications as advised by the physician.
Inform the doctor about any allergies or medical conditions.
Arrive at the appointment with clean skin, free of makeup or lotions.

Recovery and Aftercare

Post-procedure care is crucial for healing.

Keep the area clean and dry for the first few days.
Apply prescribed ointments to promote healing.
Avoid sun exposure on the treated area until fully healed.
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 the procedure.
Scarring or changes in skin pigmentation.
Recurrence of the malignant lesion if not completely removed.
Allergic reactions to anesthesia or topical medications.

Secure, compliant, and built for trust

HIPAA-compliant and designed with privacy in mind, your patient’s data is protected. Focus on care while we safeguard your information.

Learn more

Post-Procedure Follow-Up

Follow-up is essential for monitoring recovery.

Schedule a follow-up appointment within 1-2 weeks post-procedure.
Regular skin checks every 6-12 months to monitor for new lesions.
Immediate consultation if any unusual symptoms arise.

Alternative Treatments

There are non-surgical options available.

Topical chemotherapy for superficial skin cancers.
Photodynamic therapy to destroy cancer cells.
Immunotherapy to boost the body's immune response against cancer.

Home Care Tips

Simple tips for effective home care.

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

Patient Education & Prevention

Education is key to prevention and recurrence avoidance.

Regular skin checks for early detection of new lesions.
Use sunscreen daily to protect against UV rays.
Wear protective clothing and seek shade during peak sun hours.

Billing and Coding Information

CPT Code: 17264

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.