Overview of CPT Code 17282: Destruction of benign skin lesion, face, ears, scalp

CPT Code 17282 refers to the procedure for the destruction of benign skin lesions located on the face, ears, or scalp. This procedure is typically performed to remove lesions that are non-cancerous but may cause cosmetic concerns or discomfort.

When CPT Code 17282 is Used?

This code is applicable in various clinical scenarios.

Removal of seborrheic keratosis that is bothersome to the patient.
Destruction of benign moles that are changing in appearance.
Treatment of actinic keratosis on sun-exposed areas.
Removal of skin tags that are irritating or unsightly.

Symptoms Indicating This Procedure

Patients may report several symptoms that lead to this procedure.

Visible skin lesions that are raised or discolored.
Itching or irritation at the site of the lesion.
Bleeding or crusting from the lesion.
Lesions that change in size, shape, or color.

Causes and Risk Factors

Several factors can contribute to the development of benign skin lesions.

Sun exposure leading to actinic keratosis.
Genetic predisposition to skin lesions.
Aging skin which may develop seborrheic keratosis.
Skin irritation or friction that may lead to skin tags.

Diagnostic Tests Before Procedure

Certain tests may be conducted to confirm the diagnosis.

Visual examination of the skin lesion.
Dermatoscopy to assess the characteristics of the lesion.
Biopsy if there is suspicion of malignancy.

Procedure Description

The procedure involves several key steps.

Patient is positioned comfortably.
The area around the lesion is cleaned and disinfected.
Local anesthesia is administered to minimize discomfort.
The lesion is destroyed using cryotherapy, electrosurgery, or laser treatment.
The area is dressed appropriately after the procedure.

Preparation for the Procedure

Patients should follow these steps before the procedure.

Avoid blood thinners for a few days prior to the procedure.
Inform the physician of any allergies or medications.
Do not apply any topical products on the lesion before the appointment.
Arrive with clean skin, free of makeup or lotions.

Recovery and Aftercare

Post-procedure care is essential for healing.

Keep the area clean and dry for the first few days.
Apply prescribed ointment to promote healing.
Avoid sun exposure on the treated area.
Monitor for signs of infection such as increased redness or pus.

Possible Complications

While generally safe, there are potential risks.

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

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Post-Procedure Follow-Up

Follow-up is important to ensure proper healing.

Schedule a follow-up appointment within 1-2 weeks.
Monitor the healing process and any changes in the area.
Discuss any concerns or complications with the healthcare provider.

Alternative Treatments

There are non-surgical options available.

Topical treatments for actinic keratosis.
Cryotherapy using liquid nitrogen for superficial lesions.
Laser therapy for targeted destruction of lesions.

Home Care Tips

Patients can follow these tips for better recovery.

Keep the area moisturized as directed.
Avoid picking at scabs or lesions.
Use sunscreen to protect the area from UV exposure.
Stay hydrated and maintain a healthy diet.

Patient Education & Prevention

Education is key to preventing 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.
Consult a dermatologist for any skin concerns.

Billing and Coding Information

CPT Code: 17282

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.