Overview of CPT Code 17281: Destruction of benign skin lesions, face, ears, scalp, neck, hands, feet, and genitalia; excised diameter over 4.0 cm.

Overview of CPT Code 17281: Destruction of benign skin lesions, face, ears, scalp, neck, hands, feet, and genitalia; excised diameter over 4.0 cm.

CPT Code 17281 refers to the procedure for the 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 17281 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.
• Skin lesions that have shown signs of growth or change.
• Lesions that may be at risk for irritation or injury due to their location.

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.
• Pain or discomfort associated with the lesion.

Causes and Risk Factors

Understanding the causes and risk factors can help in prevention and management.

• Sun exposure leading to skin changes.
• Genetic predisposition to skin lesions.
• Previous skin injuries or trauma.
• Certain skin conditions such as actinic keratosis.

Diagnostic Tests Before Procedure

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

• Physical examination of the lesion.
• Dermatoscopic evaluation to assess the lesion's characteristics.
• Biopsy if there is suspicion of malignancy.

Procedure Description

The procedure involves several key steps.

• 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 by secondary intention.

Preparation for the Procedure

Patients should follow specific guidelines before the procedure.

• Avoid blood-thinning medications for a week prior to the procedure.
• Inform the physician of any allergies, especially to anesthetics.
• Arrive with clean skin, free of lotions or creams.

Recovery and Aftercare

Post-procedure care is crucial for optimal healing.

• Expect some swelling and discomfort for a few days.
• Keep the area clean and dry; follow wound care instructions.
• Avoid sun exposure on the treated area until healed.
• Use prescribed pain medications as needed.

Possible Complications

While generally safe, there are potential risks involved.

• 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.

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Post-Procedure Follow-Up

Follow-up is essential to monitor healing.

• Schedule a follow-up appointment within 1-2 weeks post-procedure.
• Monitor for signs of infection or complications.
• Discuss any concerns regarding healing or appearance.

Alternative Treatments

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

• Cryotherapy for smaller lesions.
• Topical treatments such as imiquimod or fluorouracil.
• Laser therapy for cosmetic concerns.

Home Care Tips

Patients can take steps at home to aid recovery.

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

Patient Education & Prevention

Educating patients can help prevent future lesions.

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

Billing and Coding Information

CPT Code: 17281

Category: Surgical Procedures

Common Modifiers:

• 50 - Bilateral procedure
• 59 - Distinct procedural service

Average Cost and Insurance Coverage

Costs can vary based on several factors.

• 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
• 17262 - Destruction of benign skin lesion, face, ears, scalp
• 11406 - Excision, benign skin lesion; face, ears, scalp, neck, excised diameter over 4.0 cm

References and Sources

• American Academy of Dermatology
• National Institutes of Health