What code should be used for electrodesiccation of a basal cell carcinoma measuring 1 cm on the face?

When coding for electrodesiccation of a basal cell carcinoma, it is important to consider the specific CPT codes designated for different types of skin lesions and treatments. In this case, basal cell carcinoma is a type of skin cancer, and electrodesiccation is a method used to remove it.

The correct code for this procedure is 17281, which is specifically designed for the destruction of malignant skin lesions (like basal cell carcinoma) using methods such as electrodesiccation or cryotherapy. This code applies to lesions located on the face, ears, scalp, neck, hands, and forearms. The measurement of the lesion, in this instance 1 cm, fits within the guidelines for this particular coding.

The other CPT codes listed pertain to different procedures or conditions:

• A code that reflects excisions of skin lesions (11420) is not appropriate here because electrodesiccation does not involve excising the lesion.

• Similarly, codes related to breast procedures (19120) and unspecified vascular procedures (37182) do not apply to the treatment of a basal cell carcinoma on the face.

Thus, in the context of treating a basal cell carcinoma via electrodesiccation, code 17281 accurately reflects the nature of the procedure performed.