Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), of benign lesions other than skin tags or cutaneous vascular proliferative lesions; up to 14 lesions
CPT4 code
Name of the Procedure:
Destruction of Benign Lesions (e.g., laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement)
Summary
This procedure involves the removal of up to 14 benign lesions (non-cancerous growths) on the skin, excluding skin tags and cutaneous vascular proliferative lesions. Techniques may include laser surgery, electrosurgery, cryosurgery, chemosurgery, or surgical curettement to destroy the lesions.
Purpose
The procedure aims to remove benign lesions that may be causing discomfort, cosmetic concerns, or have potential for complications. The goal is to eliminate these lesions and improve skin appearance or health.
Indications
Indications for this procedure include:
- Non-cancerous growths on the skin that are symptomatic (e.g., itching, pain, discomfort)
- Lesions causing cosmetic concerns
- Lesions that have potential for recurrent infections or other complications Patients considered for this procedure usually exhibit these conditions and seek relief or cosmetic improvement.
Preparation
Preparation for the procedure may include:
- Avoiding certain medications (e.g., blood thinners) as advised by a healthcare provider
- No specific fasting requirements unless advised by the physician
- Pre-procedure assessment and consultation with the healthcare provider to discuss medical history and allergies
Procedure Description
- The procedure starts with cleaning and possibly numbing the affected area.
- Depending on the technique used:
- Laser Surgery: A laser is used to precisely target and destroy the lesion.
- Electrosurgery: An electric current is utilized to burn off the lesion.
- Cryosurgery: Liquid nitrogen is applied to freeze and destroy the lesion.
- Chemosurgery: Chemical agents are used to dissolve or destroy the lesion.
- Surgical Curettement: A surgical instrument is used to scrape off the lesion.
- The choice of technique depends on lesion type, size, and location.
- Local anesthesia is often used to minimize discomfort.
Duration
The procedure typically takes between 15 to 45 minutes, depending on the number and size of lesions.
Setting
This procedure is usually performed in an outpatient clinic, dermatology office, or surgical center.
Personnel
- Dermatologist or surgeon
- Nurses or medical assistants
- Anesthesiologist if necessary (though local anesthesia is more common)
Risks and Complications
- Common risks: Scarring, infection, changes in skin pigmentation
- Rare risks: Allergic reactions to anesthesia, prolonged bleeding, keloid formation
- Most complications are manageable with proper care and follow-up.
Benefits
- Removal of uncomfortable or unsightly lesions
- Improved skin appearance
- Prevention of potential complications related to benign lesions
- Benefits may be realized immediately upon removal and healing.
Recovery
- Post-procedure care includes keeping the area clean, applying prescribed ointment, and avoiding sun exposure on the treated area.
- Recovery time is typically short, ranging from a few days to a week.
- Follow-up appointments may be scheduled to monitor healing and address any concerns.
Alternatives
- Observation: Monitoring the lesions without active treatment.
- Topical treatments: Use of creams or ointments to manage symptoms.
- Surgical excision: Cutting out the lesion, which may involve more extensive healing than the above methods.
- Each alternative has its own pros and cons and should be discussed with a healthcare provider.
Patient Experience
- During the procedure, patients may feel slight discomfort or pressure, especially during the numbing process.
- Post-procedure, mild pain or discomfort is common but manageable with over-the-counter pain relievers.
- Patients are advised to follow care instructions closely to ensure proper healing and minimize risks.