CPT® Code 17270

Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), scalp, neck, hands, feet, genitalia; lesion diameter 0.5 cm or less

The CPT® Code 17270 refers to the destruction of malignant lesions located on specific areas of the body, including the scalp, neck, hands, feet, and genitalia, where the diameter of the lesion is 0.5 cm or less. Malignant lesions of the skin can include various types of cancers such as basal cell carcinoma, squamous cell carcinoma, and malignant melanoma. The procedure involves a thorough examination of the lesion to determine the most suitable method of destruction. Depending on the case, a local anesthetic may be administered to ensure patient comfort during the procedure. Various techniques can be employed for the destruction of the lesion, including cryosurgery, which utilizes liquid nitrogen to freeze the lesion through a series of freeze-thaw cycles. Additionally, surgical curettage, which involves scraping away the lesion, may be followed by electrosurgery to ensure complete destruction. In cases where multiple lesions are present, alternative methods such as chemical or pharmacologic agents or laser resurfacing with a carbon dioxide laser may be utilized. It is important to note that during the destruction process, the physician not only targets the malignant lesion but also removes a surrounding border of normal tissue to minimize the risk of recurrence. For accurate coding, it is essential to use the appropriate CPT® code based on the size of the lesion, with 17270 specifically designated for lesions measuring 0.5 cm or less.