Overview of CPT Code 17284: Destruction of benign skin lesions, face, ears, scalp

CPT Code 17284 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 17284 is Used?

This code is applicable in various clinical scenarios.

Removal of seborrheic keratosis that is bothersome to the patient.
Destruction of actinic keratosis to prevent progression to skin cancer.
Treatment of benign moles that are symptomatic or cosmetically undesirable.
Management of dermatofibromas that cause irritation or discomfort.

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.
Lesions that are growing or changing in appearance.
Cosmetic concerns regarding the appearance of the skin.
Pain or discomfort associated with the lesion.

Causes and Risk Factors

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

Sun exposure leading to actinic keratosis.
Genetic predisposition to certain skin lesions.
Age-related changes in skin leading to seborrheic keratosis.
Skin trauma or irritation that may promote lesion formation.

Diagnostic Tests Before Procedure

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

Visual examination of the lesion by a dermatologist.
Dermatoscopy to assess the characteristics of the lesion.
Biopsy may be performed 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 destroyed using methods such as cryotherapy, electrosurgery, or laser treatment.
The area is dressed appropriately to promote healing.

Preparation for the Procedure

Patients should follow specific guidelines before the procedure.

Avoid blood thinners and certain medications as advised by the physician.
Do not apply any topical products on the lesion area prior to the procedure.
Arrive with clean skin, free of makeup or lotions.

Recovery and Aftercare

Post-procedure care is essential for optimal healing.

Keep the area clean and dry for the first few days.
Apply prescribed ointments to promote healing.
Avoid sun exposure and use sunscreen on the treated area.
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 removed.
Allergic reactions to topical medications used post-procedure.

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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.
Report any unusual symptoms or complications immediately.
Regular skin checks may be recommended to monitor for new lesions.

Alternative Treatments

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

Topical treatments such as 5-fluorouracil for actinic keratosis.
Cryotherapy using liquid nitrogen for superficial lesions.
Observation for lesions that are asymptomatic and not bothersome.

Home Care Tips

Patients can take steps at home to aid recovery.

Keep the treated area moisturized as directed.
Avoid picking at scabs or lesions during healing.
Use gentle cleansers and avoid harsh scrubs on the area.

Patient Education & Prevention

Educating patients on prevention can help reduce recurrence.

Regularly use sunscreen to protect skin from UV damage.
Perform self-examinations to monitor for new lesions.
Seek dermatological advice for any changes in existing lesions.

Billing and Coding Information

CPT Code: 17284

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.