Overview of CPT Code 17380: Destruction of Lesion, Skin

Overview of CPT Code 17380: Destruction of Lesion, Skin

CPT Code 17380 refers to the procedure for the destruction of skin lesions using various methods such as cryotherapy, electrosurgery, or laser treatment. This procedure is commonly performed to remove benign or malignant skin growths.

When CPT Code 17380 is Used?

This code is applicable in several clinical scenarios, including but not limited to:

• Removal of benign skin lesions such as warts, moles, or seborrheic keratosis.
• Destruction of precancerous lesions like actinic keratosis.
• Treatment of certain skin cancers, depending on the lesion's characteristics.

Symptoms Indicating This Procedure

Patients may present with various symptoms that warrant this procedure, including:

• Visible skin growths that are changing in size or color.
• Itching or irritation in the area of the lesion.
• Bleeding or oozing from the lesion.

Causes and Risk Factors

Several factors can contribute to the development of skin lesions, including:

• Sun exposure leading to skin damage.
• Genetic predisposition to skin conditions.
• Weakened immune system or previous skin cancer history.

Diagnostic Tests Before Procedure

Prior to the procedure, the following diagnostic tests may be conducted:

• Skin biopsy to determine the nature of the lesion.
• Dermatoscopy for detailed examination of the skin.
• Imaging studies if deeper tissue involvement is suspected.

Procedure Description

The procedure typically involves the following steps:

• Patient is positioned comfortably and the area is cleaned.
• Local anesthesia is administered to minimize discomfort.
• The lesion is treated using the chosen method (cryotherapy, electrosurgery, or laser).
• Post-procedure care instructions are provided.

Preparation for the Procedure

Patients should follow these steps before the procedure:

• Avoid blood thinners or certain medications as advised by the physician.
• Do not apply any creams or lotions to the lesion area on the day of the procedure.
• Arrive with clean skin, free of makeup or other products.

Recovery and Aftercare

Post-procedure recovery typically includes:

• Keeping the treated area clean and dry.
• Applying prescribed ointments to promote healing.
• Monitoring for signs of infection such as increased redness or discharge.

Possible Complications

While generally safe, potential complications may include:

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

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Post-Procedure Follow-Up

Follow-up care is essential for monitoring recovery:

• Schedule a follow-up appointment within 1-2 weeks post-procedure.
• Regularly check the treated area for any changes.
• Report any unusual symptoms to the healthcare provider immediately.

Alternative Treatments

For patients who may not undergo this procedure, alternatives include:

• Topical treatments for actinic keratosis.
• Observation for benign lesions without immediate intervention.
• Cryotherapy or laser treatments performed in a less invasive manner.

Home Care Tips

Patients can follow these tips for effective home care:

• Keep the area clean and avoid picking at scabs.
• Use sunscreen to protect the healing skin.
• Stay hydrated and maintain a healthy diet to support healing.

Patient Education & Prevention

To prevent skin lesions and recurrence, patients should consider:

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

Billing and Coding Information

CPT Code: 17380

Category: Surgical Procedures

Common Modifiers:

• -25
• -59

Average Cost and Insurance Coverage

The cost for this procedure can vary widely:

• Average costs range from $150 to $500 depending on the complexity.
• Most insurance plans cover this procedure if deemed medically necessary.
• Patients should verify coverage with their insurance provider.

Related CPT Codes

• 17360 - Excision of skin lesion, benign
• 11100 - Biopsy of skin, single lesion
• 11101 - Biopsy of skin, excisional, single lesion

References and Sources

• American Academy of Dermatology
• Mayo Clinic - Skin Lesions
• National Institutes of Health - Skin Cancer