Overview of CPT Code 17280: Destruction of benign skin lesion, excised

CPT Code 17280 refers to the surgical excision and destruction of benign skin lesions. This procedure is performed to remove non-cancerous growths that may cause discomfort, cosmetic concerns, or potential complications.

When CPT Code 17280 is Used?

This code is applicable in various clinical scenarios.

Presence of benign skin lesions such as seborrheic keratosis, dermatofibromas, or lipomas.
Lesions that are symptomatic, causing itching or irritation.
Cosmetic concerns where the patient desires removal for aesthetic reasons.
Lesions that are growing or changing in appearance.

Symptoms Indicating This Procedure

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

Itching or irritation at the site of the lesion.
Visible growth or change in the size of the lesion.
Discomfort or pain associated with the lesion.
Cosmetic concerns regarding the appearance of the lesion.

Causes and Risk Factors

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

Genetic predisposition to certain skin conditions.
Sun exposure leading to skin changes.
Age-related skin changes.
Previous skin injuries or irritations.

Diagnostic Tests Before Procedure

Certain tests may be conducted to confirm the diagnosis before proceeding.

Physical examination of the lesion by a healthcare provider.
Dermatoscopy to assess the characteristics of the lesion.
Biopsy if there is uncertainty about the nature of the lesion.

Procedure Description

The procedure involves several key steps to ensure effective removal.

Patient is positioned comfortably and the area around the lesion 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, depending on the size.

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 your 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 strenuous activities that may stress the surgical site.
Follow up with your healthcare provider for suture removal if applicable.

Possible Complications

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

Infection at the site of excision.
Scarring or changes in skin pigmentation.
Bleeding or hematoma formation.
Recurrence of the lesion.

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Post-Procedure Follow-Up

Monitoring after the procedure is essential for recovery.

Schedule a follow-up appointment within 1-2 weeks to assess healing.
Contact your healthcare provider if you notice signs of infection.
Discuss any concerns regarding the appearance of the surgical site.

Alternative Treatments

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

Cryotherapy to freeze off the lesion.
Topical treatments for certain types of benign lesions.
Laser therapy for cosmetic concerns.

Home Care Tips

Simple home care can aid in recovery.

Keep the surgical area clean and dry.
Avoid picking at scabs or the surgical site.
Use sunscreen to protect the area from sun exposure.

Patient Education & Prevention

Educating patients can help prevent future lesions.

Regular skin checks for new or changing lesions.
Use sunscreen to protect skin from UV damage.
Maintain a healthy lifestyle to support skin health.

Billing and Coding Information

CPT Code: 17280

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.