CPT® Code 17280

Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 0.5 cm or less

The CPT® Code 17280 refers to the procedure of destroying a malignant lesion located on the face, ears, eyelids, nose, lips, or mucous membranes, specifically when the lesion has a diameter of 0.5 cm or less. This procedure encompasses various techniques for lesion destruction, including laser surgery, electrosurgery, cryosurgery, chemosurgery, and surgical curettement. These methods are typically employed when excision is not the preferred treatment option, particularly for certain types of malignant lesions such as squamous cell carcinoma and verrucous carcinoma, as well as lesions that have not invaded deeper layers of the dermis. Prior to the procedure, the physician evaluates the lesion to determine the most suitable destruction technique. Local anesthesia may be administered to ensure patient comfort during the procedure. Among the techniques, cryosurgery involves the application of liquid nitrogen to freeze the lesion, while surgical curettage may be followed by electrosurgery to effectively remove the malignant tissue. Other methods include the use of chemical agents in chemosurgery or the application of a carbon dioxide laser for precise destruction. It is important to select the appropriate CPT® code based on the size of the lesion, with 17280 specifically designated for lesions measuring 0.5 cm or less.