Overview of CPT Code 17302: Excision of skin lesion, malignant

Overview of CPT Code 17302: Excision of skin lesion, malignant

CPT Code 17302 refers to the surgical excision of a malignant skin lesion. This procedure is performed to remove cancerous growths from the skin, ensuring complete removal to prevent further spread.

When CPT Code 17302 is Used?

This code is applicable in various clinical scenarios.

• Presence of a malignant skin lesion confirmed by biopsy.
• Lesions that are symptomatic, such as causing pain or discomfort.
• Lesions that are growing or changing in appearance.
• Lesions located in areas where they may cause cosmetic concerns.

Symptoms Indicating This Procedure

Patients may report several symptoms that necessitate this procedure.

• A new or changing mole or skin growth.
• Itching or bleeding from the lesion.
• Pain or tenderness in the area of the lesion.
• Visible changes in color or texture of the skin.

Causes and Risk Factors

Understanding the causes and risk factors can help in prevention.

• Excessive sun exposure leading to skin damage.
• Family history of skin cancer.
• Weakened immune system due to conditions or medications.
• Previous history of skin cancer.

Diagnostic Tests Before Procedure

Several tests may be conducted to confirm the diagnosis.

• Skin biopsy to confirm malignancy.
• Dermatoscopy for detailed examination of the lesion.
• Imaging studies 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 for a week prior to the procedure.
• Discuss any allergies with your healthcare provider.
• Arrive with clean skin, free of lotions or creams.
• Have a responsible adult accompany you for post-procedure care.

Recovery and Aftercare

Recovery typically involves careful wound management.

• Keep the area clean and dry for the first few days.
• Change dressings as instructed by your healthcare provider.
• Watch for signs of infection such as increased redness or discharge.
• Limit sun exposure to the area during healing.

Possible Complications

While complications are rare, they can occur.

• Infection at the surgical site.
• Scarring or changes in skin texture.
• Recurrence of the lesion if not completely excised.
• Allergic reaction to anesthesia.

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Post-Procedure Follow-Up

Follow-up is crucial for monitoring recovery.

• Schedule a follow-up appointment within 1-2 weeks.
• Review pathology results to ensure complete excision.
• Discuss any concerns or complications during follow-up.

Alternative Treatments

There are non-surgical options available.

• Topical chemotherapy for superficial skin cancers.
• Cryotherapy to freeze and destroy abnormal cells.
• Photodynamic therapy using light to treat certain lesions.

Home Care Tips

Simple tips can aid in recovery.

• Keep the surgical site clean and dry.
• Avoid picking at scabs or the surgical site.
• Use sunscreen on the area once healed to prevent sun damage.
• Stay hydrated and maintain a healthy diet to support healing.

Patient Education & Prevention

Education is key to prevention and early detection.

• Regular skin checks for new or changing lesions.
• Use sunscreen with a high SPF to protect against UV rays.
• Wear protective clothing when outdoors.
• Avoid tanning beds and excessive sun exposure.

Billing and Coding Information

CPT Code: 17302

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 $2,000 depending on complexity.
• Most insurance plans cover the procedure if deemed medically necessary.
• Out-of-pocket costs may apply depending on the insurance plan.

Related CPT Codes

• 17301 - Excision of skin lesion, malignant
• 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.
• 11406 - Excision, benign skin lesion; face, ears, scalp, neck, excised diameter over 4.0 cm

References and Sources

• American Academy of Dermatology
• National Cancer Institute
• Mayo Clinic - Skin Cancer