CPT® Code 17283

Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 2.1 to 3.0 cm

The procedure described by CPT® Code 17283 involves the destruction of a malignant lesion located on the face, ears, eyelids, nose, lips, or mucous membranes, specifically when the diameter of the lesion measures between 2.1 to 3.0 cm. This destruction can be accomplished through various techniques, including laser surgery, electrosurgery, cryosurgery, chemosurgery, or surgical curettement. While excision is a common treatment for most malignant lesions, certain types, such as squamous cell carcinoma, verrucous carcinoma, and lesions that have not invaded deeper layers of the dermis, may be effectively treated using these destruction methods. Prior to the procedure, the physician examines the lesion to determine the most suitable destruction technique. Local anesthesia may be administered to ensure patient comfort during the procedure. Techniques such as cryosurgery, which utilizes liquid nitrogen to freeze the lesion, and surgical curettage followed by electrosurgery are frequently employed. Additionally, chemosurgery, which involves the application of a chemical or pharmacologic agent, and laser destruction using a carbon dioxide laser are also viable options for treating these lesions. The appropriate CPT® codes for different lesion sizes are specified, allowing for accurate coding based on the diameter of the lesion being treated.