Overview of CPT Code 17273: Destruction of benign skin lesions, face, ears, scalp, neck, hands, arms, legs; excised diameter over 4.0 cm.

Overview of CPT Code 17273: Destruction of benign skin lesions, face, ears, scalp, neck, hands, arms, legs; excised diameter over 4.0 cm.

CPT Code 17273 refers to the procedure for the destruction of benign skin lesions that are larger than 4.0 cm in diameter, specifically located on the face, ears, scalp, neck, hands, arms, and legs. This procedure is typically performed to remove lesions that may be causing discomfort, cosmetic concerns, or have the potential for malignancy.

When CPT Code 17273 is Used?

This code is applicable in various clinical scenarios.

• Large benign skin lesions that are symptomatic or causing discomfort.
• Lesions that are cosmetically unappealing to the patient.
• Lesions that have changed in appearance or size.
• Lesions that require histological examination to rule out malignancy.

Symptoms Indicating This Procedure

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

• Visible growths on the skin that are larger than 4.0 cm.
• Itching or irritation in the area of the lesion.
• Bleeding or oozing from the lesion.
• Changes in color or texture of the lesion.

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.
• History of skin conditions such as actinic keratosis.
• Weakened immune system or previous skin cancers.

Diagnostic Tests Before Procedure

Certain tests may be conducted to ensure the appropriateness of the procedure.

• Physical examination of the lesion.
• Dermatoscopy to assess the lesion's characteristics.
• Biopsy of the lesion if malignancy is suspected.

Procedure Description

The procedure involves several key steps to ensure effective removal of the lesion.

• Patient is positioned comfortably and the area is cleaned.
• Local anesthesia is administered to minimize discomfort.
• The lesion is excised using a scalpel or other surgical instruments.
• The area is cauterized to control bleeding.
• The wound is closed with sutures or left to heal naturally, depending on the size.

Preparation for the Procedure

Proper preparation can enhance the success of the procedure.

• Avoid blood thinners and certain medications as advised by the physician.
• Arrive with clean skin, free of lotions or creams.
• Discuss any allergies or medical conditions with the healthcare provider.

Recovery and Aftercare

Post-procedure care is crucial for optimal 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.
• Monitor for signs of infection such as increased redness or discharge.

Possible Complications

While generally safe, there are potential risks associated with the procedure.

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

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Post-Procedure Follow-Up

Follow-up appointments are essential for monitoring recovery.

• Schedule a follow-up visit within 1-2 weeks to assess healing.
• Discuss any concerns or complications during the follow-up.
• Further treatment may be necessary if the lesion recurs.

Alternative Treatments

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

• Cryotherapy to freeze and destroy the lesion.
• Topical treatments such as imiquimod or fluorouracil.
• Laser therapy for targeted destruction of the lesion.

Home Care Tips

Simple home care can aid in recovery.

• Keep the wound clean and dry.
• Avoid picking at scabs or lesions.
• Use sunscreen to protect the area from UV exposure.

Patient Education & Prevention

Educating patients on prevention can reduce the risk of future lesions.

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

Billing and Coding Information

CPT Code: 17273

Category: Surgical Procedures

Common Modifiers:

• 50 - Bilateral procedure
• 59 - Distinct procedural service

Average Cost and Insurance Coverage

Costs can vary based on location and insurance coverage.

• 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
• 17261 - Destruction of skin lesion, excised
• 17262 - Destruction of benign skin lesion, face, ears, scalp
• 11100 - Biopsy of skin, single lesion
• 11101 - Biopsy of skin, excisional, single lesion

References and Sources

• American Academy of Dermatology
• Mayo Clinic - Skin Lesions