Overview of CPT Code 17301: Excision of skin lesion, malignant

Overview of CPT Code 17301: Excision of skin lesion, malignant

CPT Code 17301 refers to the surgical excision of a malignant skin lesion. This procedure is performed to remove cancerous skin growths, ensuring complete removal to prevent further spread.

When CPT Code 17301 is Used?

This code is applicable in various clinical scenarios.

• Diagnosis of malignant melanoma or non-melanoma skin cancers.
• Presence of suspicious skin lesions that require histological examination.
• Lesions that are symptomatic, such as causing pain or bleeding.

Symptoms Indicating This Procedure

Patients may report several symptoms that lead to the need for this procedure.

• A new or changing mole or skin lesion.
• Itching, bleeding, or oozing from the lesion.
• Lesions that appear irregular in shape or color.

Causes and Risk Factors

Understanding the causes and risk factors can help in prevention.

• Excessive sun exposure or tanning bed use.
• Family history of skin cancer.
• Weakened immune system due to conditions or medications.

Diagnostic Tests Before Procedure

Certain tests may be conducted to confirm the diagnosis.

• Skin biopsy to determine the nature of the lesion.
• Imaging tests like ultrasound if deeper tissue involvement is suspected.

Procedure Description

The excision procedure follows a systematic approach.

• Patient is positioned comfortably and the area is cleaned.
• Local anesthesia is administered to numb the area.
• The surgeon excises the lesion along with a margin of healthy tissue.
• The wound is closed with sutures or adhesive strips.
• Post-operative care instructions are provided.

Preparation for the Procedure

Proper preparation is essential for a smooth procedure.

• Avoid blood thinners like aspirin before the procedure.
• Inform the doctor about any allergies or medications.
• Arrive with clean skin and wear comfortable clothing.

Recovery and Aftercare

Recovery varies by individual but generally follows a standard process.

• Wound care instructions should be followed to prevent infection.
• Pain management may include over-the-counter pain relievers.
• Follow-up appointments are necessary to monitor healing.

Possible Complications

While complications are rare, they can occur.

• Infection at the surgical site.
• Scarring or changes in skin pigmentation.
• Recurrence of the lesion if not completely excised.

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Post-Procedure Follow-Up

Follow-up is crucial for monitoring recovery.

• Typically scheduled within 1-2 weeks post-surgery.
• Additional follow-ups may be needed based on pathology results.

Alternative Treatments

In some cases, non-surgical options may be considered.

• Topical chemotherapy for superficial skin cancers.
• Cryotherapy to freeze and destroy abnormal cells.

Home Care Tips

Patients can take steps at home to aid recovery.

• Keep the surgical site clean and dry.
• Avoid sun exposure on the healing area.
• Monitor for signs of infection, such as increased redness or discharge.

Patient Education & Prevention

Education is key to preventing skin cancer.

• Regular skin checks for new or changing lesions.
• Use sunscreen and protective clothing when outdoors.
• Avoid tanning beds and excessive sun exposure.

Billing and Coding Information

CPT Code: 17301

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 $500 to $3,000 depending on complexity.
• Most insurance plans cover the procedure if deemed medically necessary.

Related CPT Codes

• 17302 - Excision of skin lesion, malignant
• 17303 - Destruction of malignant skin lesion, face, ears, scalp
• 11400 - Excision, benign skin lesion, face, ears, scalp, neck; excised diameter over 4.0 cm.
• 11401 - Excision, benign skin lesion, face, ears, scalp, neck; excised diameter over 4.0 cm.
• 11402 - Excision, benign skin lesion, face, ears, scalp, neck; excised diameter over 4.0 cm.

References and Sources

• American Academy of Dermatology
• National Cancer Institute