Overview of CPT Code 17283: Destruction of Malignant Skin Lesion, Face, Ears, Scalp

CPT Code 17283 refers to the procedure for the destruction of malignant skin lesions located on the face, ears, or scalp. This procedure is typically performed to remove cancerous growths and prevent further spread.

When CPT Code 17283 is Used?

This code is applicable in various clinical scenarios.

Presence of a malignant skin lesion on the face, ears, or scalp.
Lesions that have been confirmed as cancerous through biopsy.
Lesions that are symptomatic, such as causing pain or discomfort.
Lesions that are growing or changing in appearance.

Symptoms Indicating This Procedure

Patients may report several symptoms that necessitate this procedure.

Visible growths or changes in existing moles.
Itching or irritation in the affected area.
Bleeding or oozing from the lesion.
Pain or tenderness around the lesion.

Causes and Risk Factors

Understanding the causes and risk factors can help in prevention.

Excessive sun exposure leading to skin damage.
History of skin cancer in the patient or family.
Weakened immune system due to conditions like HIV or medications.
Fair skin type that is more susceptible to UV damage.

Diagnostic Tests Before Procedure

Certain tests may be conducted to confirm the diagnosis.

Skin biopsy to confirm malignancy.
Dermatoscopy to examine the lesion in detail.
Imaging tests if the lesion is suspected to have spread.

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 malignant lesion is carefully excised or destroyed using cryotherapy, electrosurgery, or laser.
The area is then cleaned and dressed appropriately.

Preparation for the Procedure

Patients should follow these steps to prepare.

Avoid blood thinners like aspirin a few days before the procedure.
Inform the doctor about any allergies or medications.
Arrive with clean skin, free of lotions or makeup.

Recovery and Aftercare

Post-procedure care is crucial for healing.

Expect some swelling and redness in the treated area.
Keep the area clean and dry; follow dressing instructions.
Use prescribed pain relief medications as needed.
Avoid sun exposure on the treated area until healed.

Possible Complications

While generally safe, there are potential risks.

Infection at the site of the procedure.
Scarring or changes in skin pigmentation.
Recurrence of the malignant lesion.

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Post-Procedure Follow-Up

Regular follow-up is essential for monitoring.

Schedule a follow-up appointment within 1-2 weeks.
Monitor for any signs of recurrence or complications.
Regular skin checks as advised by the healthcare provider.

Alternative Treatments

There are non-surgical options available.

Topical chemotherapy for superficial lesions.
Photodynamic therapy for certain types of skin cancer.
Immunotherapy for advanced cases.

Home Care Tips

Patients can follow these tips for better recovery.

Keep the treated area clean and dry.
Apply any prescribed ointments as directed.
Avoid picking at scabs or lesions during healing.

Patient Education & Prevention

Education is key to prevention and recurrence.

Regular skin checks for early detection of lesions.
Use sunscreen to protect against UV damage.
Avoid tanning beds and excessive sun exposure.

Billing and Coding Information

CPT Code: 17283

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.