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2025 CPT code 17108

Destruction of cutaneous vascular proliferative lesions (e.g., laser technique); over 50.0 sq cm.

Follow CPT guidelines for destruction of lesions.Accurate measurement of the lesion's surface area is crucial for proper code selection.

Modifiers may apply depending on the circumstances of the procedure (e.g., 59 for a distinct procedural service, 76 for a repeat procedure, 80 for an assistant surgeon). Consult official modifier guidelines for specific use cases.

Medical necessity for this procedure is established when the lesion is causing significant cosmetic concern or functional impairment and the patient has given informed consent.The size and type of lesion should be documented to support the need for this extensive procedure.

The physician is responsible for selecting the appropriate laser wavelength, accurately targeting the lesion, and monitoring the patient's response during and after the procedure.They must also ensure adequate documentation is completed.

IMPORTANT:See 17106 for lesions less than 10 sq cm; see 17107 for lesions 10.0 to 50.0 sq cm.

In simple words: This code describes a laser treatment to remove large areas of abnormal blood vessels in the skin.The doctor uses a laser to destroy the problem area without making a cut.

This CPT code encompasses the destruction of cutaneous vascular proliferative lesions exceeding 50 square centimeters using a laser technique.The procedure involves the precise application of a laser beam with an appropriate wavelength to the affected lesion, leading to the destruction of the abnormal blood vessels.This is generally a bloodless procedure as no incisions are made.

Example 1: A patient presents with a large port-wine stain (over 50 sq cm) on their leg.The physician uses a pulsed dye laser to destroy the abnormal blood vessels, improving the cosmetic appearance of the lesion., A patient with a large hemangioma (over 50 sq cm) on their back undergoes laser treatment using a YAG laser to reduce its size and improve the skin's appearance., A patient with multiple, confluent telangiectasias covering an area larger than 50 sq cm on their chest receives treatment with an Argon laser. The treatment may require multiple sessions.

Detailed medical history including size and location of the lesion,pre-treatment photographs, laser type and settings used, treatment duration, post-treatment instructions given to patient,and any complications encountered.

** The use of this code requires careful measurement of the lesion's size.Incorrect code selection can result in inaccurate reimbursement.Consider using additional codes for multiple lesions or if other procedures are performed during the same session.

** Only Enterprise users with EHR integration can access case-specific answers. Click here to request access.

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