Overview of CPT Code 17270: Destruction of benign skin lesions, excised, face, ears, scalp, neck, hands, feet, and genitalia; excised diameter over 4.0 cm.

Overview of CPT Code 17270: Destruction of benign skin lesions, excised, face, ears, scalp, neck, hands, feet, and genitalia; excised diameter over 4.0 cm.

CPT Code 17270 refers to the surgical destruction of benign skin lesions that have been excised and have an excised diameter greater than 4.0 cm. This procedure is typically performed on areas such as the face, ears, scalp, neck, hands, feet, and genitalia, where larger lesions may pose cosmetic concerns or potential for complications.

When CPT Code 17270 is Used?

This code is applicable in various clinical scenarios.

• Large benign skin lesions that require excision for cosmetic reasons.
• Lesions that are symptomatic, causing discomfort or irritation.
• Skin lesions that have the potential for malignancy and need to be removed.

Symptoms Indicating This Procedure

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

• Visible growths on the skin that are larger than 4.0 cm.
• Itching or irritation associated with the lesion.
• Bleeding or oozing from the lesion.
• Changes in the appearance of the lesion, such as color or texture.

Causes and Risk Factors

Understanding the causes and risk factors can help in prevention and early detection.

• Sun exposure leading to skin damage.
• Genetic predisposition to skin lesions.
• Previous skin conditions or lesions.
• Weakened immune system increasing the risk of skin growths.

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 instrument.
• The excised tissue is sent for pathological examination if necessary.
• The wound is closed with sutures or adhesive strips.

Preparation for the Procedure

Patients should follow specific guidelines before the procedure.

• Avoid blood thinners and certain medications as advised by the physician.
• Do not apply any creams or ointments to the lesion area prior to the procedure.
• Arrive at the appointment with a clean face and no makeup.

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.
• Follow up with the physician for suture removal if applicable.

Possible Complications

While generally safe, there are potential risks involved.

• 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

Regular follow-up is important for monitoring recovery.

• Schedule a follow-up appointment within 1-2 weeks post-procedure.
• Monitor for signs of infection or complications.
• Discuss pathology results if the lesion was sent for analysis.

Alternative Treatments

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

• Cryotherapy to freeze and destroy the lesion.
• Topical treatments for smaller lesions.
• Laser therapy for targeted destruction of skin lesions.

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 to protect the area from UV exposure.

Patient Education & Prevention

Educating patients on prevention can reduce recurrence.

• Regular skin checks for new or changing lesions.
• Use of sunscreen to protect against UV damage.
• Avoiding tanning beds and excessive sun exposure.

Billing and Coding Information

CPT Code: 17270

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 $300 to $1,500 depending on the complexity.
• Most insurance plans cover the procedure if deemed medically necessary.

Related CPT Codes

• 17260 - Destruction of benign skin lesions, excised
• 17250 - Destruction of benign skin lesions, excised
• 11406 - 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