CPT® Code 17272

Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), scalp, neck, hands, feet, genitalia; lesion diameter 1.1 to 2.0 cm

Destruction of malignant lesions refers to the medical procedures aimed at removing or destroying cancerous skin growths, which can include types such as basal cell carcinoma, squamous cell carcinoma, and malignant melanoma. These lesions are typically assessed by a healthcare professional to determine the most suitable method of destruction based on their characteristics and size. Prior to the procedure, a local anesthetic may be administered to minimize discomfort for the patient. Various techniques can be employed for the destruction of these lesions, including cryosurgery, which utilizes liquid nitrogen to freeze the lesion through a series of freeze-thaw cycles, effectively killing the cancerous cells. Another method is surgical curettage, which involves scraping away the lesion, often followed by electrosurgery to ensure complete removal. In cases where multiple lesions are present, alternative treatments such as chemical agents or laser resurfacing with a carbon dioxide laser may be utilized. The goal of these procedures is not only to eliminate the malignant lesion but also to destroy a margin of surrounding healthy tissue to reduce the risk of recurrence. For accurate coding, it is important to note the size of the lesion, as different CPT® codes are designated for varying diameters, with CPT® Code 17272 specifically applicable for lesions measuring between 1.1 to 2.0 cm in diameter.