CPT® Code 17000

Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (eg, actinic keratoses); first lesion

The CPT® Code 17000 refers to the destruction of premalignant lesions, specifically actinic keratoses (AK), which are also known as solar keratosis. These lesions are typically found on sun-exposed areas of the skin and are characterized by rough, scaly patches that can be a precursor to skin cancer. The procedure involves a thorough examination of the lesion to determine the most suitable method of destruction. Various techniques can be employed, including laser surgery, electrosurgery, cryosurgery, chemosurgery, and surgical curettage. Local anesthesia may be administered to ensure patient comfort during the procedure. Among these methods, cryosurgery, which utilizes liquid nitrogen to freeze the lesion, is the most frequently used technique. Alternatively, surgical curettage followed by electrosurgery is another common approach. For cases involving multiple lesions, treatment may involve chemical or pharmacologic agents or laser resurfacing with a carbon dioxide laser. It is important to note that CPT® Code 17000 is specifically designated for the destruction of the first lesion, while additional codes are available for subsequent lesions, ensuring accurate coding and billing for the services rendered.