CPT® Code 17286

Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), face, ears, eyelids, nose, lips, mucous membrane; lesion diameter over 4.0 cm

The procedure described by CPT® Code 17286 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 exceeds 4.0 cm. This procedure can be performed using various techniques, including laser surgery, electrosurgery, cryosurgery, chemosurgery, or surgical curettement. The choice of destruction method is determined after a thorough examination of the lesion, taking into account its characteristics and the most effective approach for treatment. Local anesthesia may be administered to ensure patient comfort during the procedure. Common techniques include cryosurgery, which utilizes liquid nitrogen to freeze and destroy the lesion, and surgical curettage, which may be followed by electrosurgery to remove the lesion effectively. Other methods such as chemosurgery, which involves the application of a chemical or pharmacologic agent, and laser destruction using a carbon dioxide laser, are also utilized. It is important to note that while excision is a common treatment for many malignant lesions, certain types, such as squamous cell carcinoma and verrucous carcinoma, may be more appropriately treated with these destruction techniques, especially when the lesions have not invaded deeper layers of the dermis.