Overview of CPT Code 17360: Excision of skin lesion, benign

Overview of CPT Code 17360: Excision of skin lesion, benign

CPT Code 17360 refers to the surgical excision of a benign skin lesion. This procedure is performed to remove non-cancerous growths on the skin, which may include moles, cysts, or other types of lesions that are not harmful but may cause discomfort or cosmetic concerns.

When CPT Code 17360 is Used?

This code is applicable in various clinical scenarios.

• Removal of a benign mole that is causing irritation.
• Excision of a sebaceous cyst that is painful or infected.
• Surgical removal of a dermatofibroma for cosmetic reasons.
• Excision of a skin tag that is bothersome.

Symptoms Indicating This Procedure

Patients may report several symptoms that lead to the decision for excision.

• Persistent itching or irritation at the lesion site.
• Visible growth on the skin that changes in size or color.
• Pain or tenderness associated with the lesion.
• Bleeding or oozing from the lesion.

Causes and Risk Factors

Understanding the causes and risk factors can help in prevention.

• Genetic predisposition to skin lesions.
• Sun exposure leading to benign growths.
• Skin trauma or irritation.
• Hormonal changes affecting skin growth.

Diagnostic Tests Before Procedure

Certain tests may be conducted to confirm the need for excision.

• Physical examination of the lesion.
• Dermatoscopy to assess the characteristics of the lesion.
• Biopsy if there is uncertainty about the nature of the lesion.

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.
• A scalpel is used to excise the lesion along with a margin of healthy skin.
• The wound is closed with sutures or adhesive strips.
• Dressing is applied to protect the area.

Preparation for the Procedure

Proper preparation is essential for a smooth procedure.

• Avoid blood thinners like aspirin a week before the procedure.
• Inform the doctor about any allergies or medications.
• Arrive with clean skin, free of lotions or creams.
• Arrange for someone to drive you home post-procedure.

Recovery and Aftercare

Post-procedure care is crucial for healing.

• Keep the area clean and dry for the first few days.
• Change the dressing as instructed by the healthcare provider.
• Avoid strenuous activities for at least a week.
• Watch for signs of infection such as increased redness or pus.

Possible Complications

While complications are rare, they can occur.

• Infection at the excision site.
• Excessive bleeding during or after the procedure.
• Scarring or changes in skin pigmentation.
• Recurrence of the lesion.

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Post-Procedure Follow-Up

Follow-up is important to ensure proper healing.

• Schedule a follow-up appointment within 1-2 weeks.
• Monitor the site for any unusual changes.
• Remove sutures if not dissolvable during the follow-up visit.

Alternative Treatments

There are non-surgical options available.

• Cryotherapy to freeze off benign lesions.
• Laser therapy for cosmetic removal of skin growths.
• Topical treatments for certain types of benign lesions.

Home Care Tips

Simple tips can aid in recovery.

• Keep the excision site clean and dry.
• Avoid picking at scabs or the wound.
• Use over-the-counter pain relief as needed.
• Stay hydrated and maintain a balanced diet.

Patient Education & Prevention

Education can help prevent future lesions.

• Regular skin checks for new or changing lesions.
• Use sunscreen to protect skin from UV damage.
• Avoid excessive sun exposure, especially during peak hours.
• Consult a dermatologist for any concerns about skin growths.

Billing and Coding Information

CPT Code: 17360

Category: Surgery

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 $200 to $1,000 depending on complexity.
• Most insurance plans cover the procedure if deemed medically necessary.
• Out-of-pocket costs may apply based on the insurance plan.

Related CPT Codes

• 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
• Mayo Clinic - Skin Lesions
• Cleveland Clinic - Skin Lesions