Overview of CPT Code 17271: Destruction of skin lesions, excised, 1-14 lesions

CPT Code 17271 refers to the medical procedure involving the destruction of skin lesions through excision, specifically for 1 to 14 lesions. This procedure is typically performed to remove benign or potentially harmful skin growths, ensuring both cosmetic and health-related benefits.

When CPT Code 17271 is Used?

This code is applicable in various clinical scenarios, including but not limited to:

Removal of benign skin lesions such as seborrheic keratosis.
Excision of precancerous lesions like actinic keratosis.
Treatment of skin tags that cause discomfort or irritation.
Management of warts that are resistant to other treatments.

Symptoms Indicating This Procedure

Patients may present with various symptoms that warrant the use of CPT Code 17271, including:

Visible skin lesions that are changing in size or color.
Lesions that are itchy, painful, or bleeding.
Growths that are cosmetically unappealing to the patient.
Skin lesions that have been diagnosed as precancerous or cancerous.

Causes and Risk Factors

Several factors can contribute to the development of skin lesions, including:

Excessive sun exposure leading to skin damage.
Genetic predisposition to skin conditions.
Weakened immune system due to various health conditions.
Chronic skin irritation or inflammation.

Diagnostic Tests Before Procedure

Prior to the procedure, certain diagnostic tests may be conducted to ensure appropriate treatment, including:

Skin biopsy to confirm the nature of the lesion.
Dermatoscopy to examine the lesion in detail.
Physical examination to assess the number and characteristics of lesions.

Procedure Description

The procedure for CPT Code 17271 typically involves the following steps:

Patient is positioned comfortably and the area is cleaned.
Local anesthesia is administered to minimize discomfort.
The physician excises the lesions using a scalpel or other surgical instruments.
The excised tissue is sent for pathological examination if necessary.
The wound is closed with sutures or left to heal naturally, depending on the size.

Preparation for the Procedure

Patients should follow these preparation steps before the procedure:

Avoid blood-thinning medications for a few days prior to the procedure.
Inform the physician of any allergies or medical conditions.
Arrive with clean skin, free of lotions or creams.
Arrange for transportation if sedation is used.

Recovery and Aftercare

Post-procedure recovery typically involves the following:

Expect some swelling and redness around the excised area.
Keep the area clean and dry; follow wound care instructions.
Use prescribed pain relief medications as needed.
Schedule a follow-up appointment to monitor healing.

Possible Complications

While generally safe, there are potential complications associated with this procedure, including:

Infection at the site of excision.
Scarring or changes in skin pigmentation.
Allergic reactions to anesthesia or topical medications.
Recurrence of the lesion if not completely excised.

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Post-Procedure Follow-Up

Follow-up care is essential for monitoring recovery, typically involving:

A follow-up appointment within 1-2 weeks to check healing.
Regular skin checks for new lesions or changes.
Discussion of biopsy results if tissue was sent for analysis.

Alternative Treatments

For patients who may not wish to undergo excision, alternative treatments include:

Cryotherapy to freeze off lesions.
Topical treatments for actinic keratosis.
Laser therapy for certain types of skin lesions.
Electrosurgery for removal of warts or skin tags.

Home Care Tips

Patients can follow these home care tips for optimal recovery:

Keep the excised area clean and dry.
Avoid picking at scabs or lesions.
Apply any prescribed ointments as directed.
Monitor for signs of infection, such as increased redness or pus.

Patient Education & Prevention

To prevent future skin lesions, patients should consider the following:

Use sunscreen daily to protect against UV damage.
Regularly check skin for new or changing lesions.
Avoid tanning beds and excessive sun exposure.
Maintain a healthy lifestyle to support skin health.

Billing and Coding Information

CPT Code: 17271

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.