Overview of CPT Code 17310: Destruction of malignant skin lesion, excised

CPT Code 17310 refers to the surgical procedure for the destruction of a malignant skin lesion that has been excised. This procedure is typically performed to remove cancerous skin growths, ensuring complete excision to prevent recurrence and further complications.

When CPT Code 17310 is Used?

This code is applicable in various clinical scenarios, including:

Presence of a malignant skin lesion confirmed by biopsy.
Lesions that are symptomatic, such as causing pain or discomfort.
Lesions that show signs of rapid growth or change in appearance.
Lesions located in cosmetically sensitive areas where complete excision is necessary.

Symptoms Indicating This Procedure

Patients may report several symptoms that warrant this procedure, including:

A new or changing mole or skin growth.
Itching, bleeding, or oozing from the lesion.
Pain or tenderness in the area of the lesion.
Visible changes in color, size, or shape of the lesion.

Causes and Risk Factors

Understanding the causes and risk factors can help in prevention and early detection.

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

Diagnostic Tests Before Procedure

Before proceeding with the excision, several diagnostic tests may be conducted:

Skin biopsy to confirm malignancy.
Dermatoscopy to examine the lesion in detail.
Imaging studies if the lesion is suspected to have deeper involvement.

Procedure Description

The procedure involves several key steps:

Patient is positioned comfortably and the area is cleaned.
Local anesthesia is administered to numb the area.
The malignant lesion is excised using a scalpel.
Surrounding tissue may also be removed to ensure complete excision.
The wound is closed with sutures or adhesive strips.

Preparation for the Procedure

Patients should follow these steps to prepare for the procedure:

Avoid blood thinners like aspirin or ibuprofen a week prior.
Inform the doctor about any allergies or medications.
Arrive with clean skin, free of lotions or creams.
Arrange for transportation if sedation is used.

Recovery and Aftercare

Post-procedure recovery typically involves:

Wound care instructions to keep the area clean and dry.
Pain management with over-the-counter medications as needed.
Monitoring for signs of infection such as increased redness or discharge.
Follow-up appointment to assess healing and remove sutures if necessary.

Possible Complications

While generally safe, there are potential risks associated with the procedure:

Infection at the excision site.
Scarring or changes in skin texture.
Recurrence of the malignant lesion.
Allergic reaction to anesthesia.

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Post-Procedure Follow-Up

Follow-up care is crucial for monitoring recovery:

Initial follow-up within 1-2 weeks to check healing.
Regular skin checks every 3-6 months for high-risk patients.
Long-term monitoring for any new lesions or changes.

Alternative Treatments

In some cases, alternative treatments may be considered:

Topical chemotherapy for superficial skin cancers.
Cryotherapy to freeze and destroy abnormal cells.
Photodynamic therapy using light to target cancer cells.

Home Care Tips

Patients can follow these tips for effective home care:

Keep the excision site clean and dry.
Avoid sun exposure on the healing area.
Use sunscreen to protect the skin.
Report any unusual symptoms to the healthcare provider.

Patient Education & Prevention

Education on prevention is vital for reducing recurrence:

Regular skin checks for early detection of new lesions.
Use of sunscreen and protective clothing when outdoors.
Avoid tanning beds and excessive sun exposure.
Educate family members about skin cancer risks.

Billing and Coding Information

CPT Code: 17310

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.