Overview of CPT Code 17311: Destruction of malignant skin lesion, excised

CPT Code 17311 refers to the surgical destruction of a malignant skin lesion that has been excised. This procedure is typically performed to remove cancerous skin growths and prevent the spread of malignancy.

When CPT Code 17311 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 are growing or changing in appearance.
Lesions located in cosmetically sensitive areas where excision is necessary.

Symptoms Indicating This Procedure

Patients may report the following symptoms that warrant this procedure:

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 or texture of the skin.

Causes and Risk Factors

Several factors can contribute to the development of malignant skin lesions:

Excessive sun exposure or tanning bed use.
Family history of skin cancer.
Fair skin, light hair, and light eyes.
Weakened immune system due to conditions or medications.

Diagnostic Tests Before Procedure

Before proceeding with the destruction of a malignant skin lesion, the following 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 spread.

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 or other surgical instruments.
The area is inspected for complete removal of the lesion.
The wound is closed with sutures or left to heal by secondary intention.

Preparation for the Procedure

Patients should follow these steps to prepare for the procedure:

Avoid blood thinners and certain medications as advised by the physician.
Arrive with clean skin, free of lotions or creams.
Discuss any allergies or medical conditions with the healthcare provider.
Arrange for transportation if sedation is used.

Recovery and Aftercare

Post-procedure recovery typically involves:

Keeping the surgical site clean and dry.
Changing dressings as instructed by the healthcare provider.
Taking prescribed pain medications as needed.
Monitoring for signs of infection, such as increased redness or discharge.

Possible Complications

While generally safe, the procedure may have risks, including:

Infection at the surgical site.
Scarring or changes in skin pigmentation.
Recurrence of the malignant lesion.
Delayed healing or wound dehiscence.

Secure, compliant, and built for trust

HIPAA-compliant and designed with privacy in mind, your patient’s data is protected. Focus on care while we safeguard your information.

Learn more

Post-Procedure Follow-Up

Follow-up care is essential for monitoring recovery:

Schedule a follow-up appointment within 1-2 weeks post-procedure.
Regular skin checks to monitor for new lesions.
Discuss pathology results and further treatment if necessary.

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 treat certain skin cancers.

Home Care Tips

Patients can follow these tips for effective home care:

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

Patient Education & Prevention

Educating patients on prevention is crucial:

Regular skin checks for early detection of lesions.
Use of sunscreen and protective clothing.
Avoiding tanning beds and excessive sun exposure.
Understanding family history and risk factors.

Billing and Coding Information

CPT Code: 17311

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.