AMA CPT® Assistant - 2009 Issue 8 (August)
Destruction of Lesions: Benign, Premalignant, and Malignant (August 2009)
August 2009 page 7 Surgery: Destruction of Lesions: Benign, Premalignant, and Malignant This article specifically addresses the similarities and differences between the destruction of benign or premalignant lesions (codes 17000 - 17250 ), and the destruction of malignant lesions (codes 17260 - 17286 ) which are found in the Integumentary Section of CPT 2009 . The CPT guidelines define destruction as the ablation of benign, premalignant, or malignant tissues by any method , including electrosurgery, cryosurgery, laser and chemical treatment. This is not removal by excision or shaving of skin lesions using surgical instruments such as a knife, scalpel or other...
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Article Overview
This CPT Assistant article explains the scope of lesion destruction coding in the integumentary section of CPT 2009. It compares how coding differs across benign, premalignant, and malignant lesion destruction and discusses general considerations such as lesion counts, treatment area, anatomic site, and related modifier use. The article is intended for coders and billing staff who work with dermatology and other skin procedure reporting.
Why This Topic Matters
Accurate lesion destruction reporting depends on distinguishing lesion type, counting rules, treatment extent, and when more specific codes apply. This article helps readers understand the broad framework used in CPT 2009 for these services.
Article Sections
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August 2009 page 7
Publication and article context for the coding discussion.
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Destruction of Premalignant Lesions
Overview of coding for premalignant lesion destruction and how the article frames related reporting considerations.
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Destruction of Cutaneous Vascular Proliferative Lesions
Discussion of benign vascular lesion destruction coding and the general factors used to differentiate this code family.
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Destruction of Benign Lesions
Summary of benign lesion destruction coding and how it is distinguished from other lesion categories.
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Destruction of Malignant Lesions
Overview of malignant lesion destruction coding within the integumentary section and the broad parameters described in the article.
What You Will Learn
- How CPT 2009 organizes lesion destruction services by lesion category
- The broad differences between benign, premalignant, and malignant lesion destruction reporting
- How lesion count, treated area, and anatomic site affect code family selection
- Which general modifier considerations are discussed in relation to lesion destruction services
- How the article distinguishes destruction from other skin procedure approaches
Who Should Read This
- Medical coders
- Coding auditors
- Dermatology billing staff
- Practice managers
- Compliance professionals
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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