Overview of CPT Code 17276: Destruction of benign skin lesions, face, ears, scalp, neck, hands, feet, and genitalia; excised diameter over 4.0 cm.
CPT Code 17276 refers to the surgical destruction of benign skin lesions that 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 complications.
When CPT Code 17276 is Used?
This code is applicable in various clinical scenarios.
- Large benign skin lesions that require removal for cosmetic reasons.
- Lesions that are symptomatic, causing discomfort or irritation.
- Skin lesions that have changed in appearance or size, warranting further evaluation.
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 color or texture of the skin 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.
- Previous skin conditions or surgeries.
- Weakened immune system affecting skin health.
Diagnostic Tests Before Procedure
Certain tests may be conducted to ensure the appropriateness of the procedure.
- Skin biopsy to confirm the benign nature of the lesion.
- Dermatoscopic examination to assess the lesion's characteristics.
- Medical history review to identify any underlying conditions.
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 inspected for complete removal of the lesion.
- The wound is closed with sutures or adhesive strips as necessary.
Preparation for the Procedure
Proper preparation can enhance the success of the procedure.
- Avoid blood thinners or anti-inflammatory medications prior to the procedure.
- Discuss any allergies with the healthcare provider.
- Arrive with clean skin and avoid applying lotions or creams on the day of the procedure.
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 until fully healed.
- 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 important for monitoring recovery.
- Schedule a follow-up visit within 1-2 weeks to assess healing.
- Contact the healthcare provider if any complications arise.
- Discuss any concerns regarding the appearance of the treated area.
Alternative Treatments
There are non-surgical options available for managing skin lesions.
- Cryotherapy to freeze and destroy the lesion.
- Topical treatments such as imiquimod or fluorouracil.
- Laser therapy for targeted destruction of skin lesions.
Home Care Tips
Simple home care can aid in recovery.
- Keep the wound clean and dry.
- Avoid picking at scabs or the healing area.
- Use sunscreen to protect the area from UV exposure.
Patient Education & Prevention
Education on skin health can help prevent future lesions.
- Regular skin checks for new or changing lesions.
- Use sunscreen daily to protect against UV damage.
- Maintain a healthy lifestyle to support skin health.
Billing and Coding Information
CPT Code: 17276
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.
- Average cost ranges from $300 to $1,500 depending on complexity.
- Most insurance plans cover the procedure if deemed medically necessary.
- Check with your insurance provider for specific coverage details.
Related CPT Codes
- 11406 - Excision, benign skin lesion; face, ears, scalp, neck, excised diameter over 4.0 cm
- 11403 - Excision, benign skin lesion, face, ears, scalp; excised diameter over 4.0 cm.
- 11404 - Excision, benign skin lesion, face, ears, scalp; excised diameter over 4.0 cm.
- 17000 - Destruction of benign skin lesions
- 17003 - Destruction of benign skin lesions, 15 or more lesions
References and Sources
Frequently Asked Questions (FAQs)
What is CPT Code 17276?
It refers to the destruction of benign skin lesions larger than 4.0 cm.
Is this procedure painful?
Local anesthesia is used to minimize discomfort during the procedure.
How long does recovery take?
Most patients recover within 1-2 weeks, depending on the size of the lesion.
Will there be scarring?
Some scarring may occur, but it often fades over time.
Can the lesion come back?
There is a possibility of recurrence if the lesion is not completely removed.
