Overview of CPT Code 17272: Destruction of skin lesions, excised

CPT Code 17272 refers to the excision and destruction of skin lesions, which may include benign or malignant growths. This procedure is performed to remove lesions that may cause discomfort, cosmetic concerns, or have the potential to become cancerous.

When CPT Code 17272 is Used?

This code is applicable in various clinical scenarios.

Removal of suspicious skin lesions for biopsy.
Excision of benign skin tumors such as seborrheic keratosis.
Treatment of precancerous lesions like actinic keratosis.
Management of skin cancers requiring excision.

Symptoms Indicating This Procedure

Patients may report several symptoms that warrant this procedure.

Visible skin growths that change in size or color.
Itching or irritation around the lesion.
Bleeding or oozing from the lesion.
Pain or discomfort in the affected area.

Causes and Risk Factors

Understanding the causes and risk factors can help in prevention.

Sun exposure leading to skin damage.
Family history of skin cancer.
Weakened immune system.
Previous skin lesions or cancers.

Diagnostic Tests Before Procedure

Certain tests may be conducted to guide the procedure.

Skin biopsy to determine the nature of the lesion.
Dermatoscopy for detailed examination of skin lesions.
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 other surgical instruments.
The wound is closed with sutures or left to heal naturally.
Post-procedure care instructions are provided.

Preparation for the Procedure

Patients should follow these steps before the procedure.

Avoid blood thinners like aspirin a few days prior.
Inform the doctor about any allergies or medications.
Arrive with clean skin, free of lotions or creams.
Arrange for transportation if sedation is used.

Recovery and Aftercare

Post-procedure recovery is crucial for healing.

Keep the area clean and dry.
Change dressings as instructed by the healthcare provider.
Avoid strenuous activities for a few days.
Monitor for signs of infection such as increased redness or swelling.

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.
Allergic reactions to anesthesia.

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Post-Procedure Follow-Up

Follow-up is essential for monitoring recovery.

Schedule a follow-up appointment within 1-2 weeks.
Review pathology results if a biopsy was performed.
Discuss any concerns or complications with the healthcare provider.

Alternative Treatments

There are non-surgical options available.

Cryotherapy for freezing off lesions.
Topical treatments for actinic keratosis.
Laser therapy for certain types of skin lesions.

Home Care Tips

Simple tips for effective home care.

Keep the excision site clean and dry.
Apply prescribed ointments as directed.
Avoid picking at scabs or lesions.
Use sunscreen to protect healing skin.

Patient Education & Prevention

Education is key to prevention and recurrence.

Regular skin checks for new or changing lesions.
Use sunscreen daily to protect against UV damage.
Avoid tanning beds and excessive sun exposure.
Report any new skin changes to a healthcare provider promptly.

Billing and Coding Information

CPT Code: 17272

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.