2025 CPT code 17250
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Integumentary System Surgery Feed
Chemical cauterization of granulation tissue (e.g., proud flesh).
Modifiers may be applicable depending on the circumstances (e.g., 51 for multiple procedures, 59 for distinct procedural services). Consult the appropriate modifier guidelines.
Chemical cauterization is medically necessary when excessive granulation tissue prevents wound healing, causes bleeding, or is otherwise problematic.Documentation should support the need for this procedure in comparison to alternative treatments.
The provider applies a chemical agent to the granulation tissue to destroy it and promote healing. This involves careful assessment of the wound, application of the chemical, and monitoring of the healing process.The physician may provide instructions for post-procedure care.
In simple words: The doctor uses a chemical, like silver nitrate, to burn away extra tissue that's preventing a wound from healing properly. This helps stop bleeding and allows the wound to heal better.
Chemical cauterization of granulation tissue, such as proud flesh, involves the application of a chemical agent, like silver nitrate or potassium hydroxide, to destroy excessive or problematic granulation tissue. This procedure aims to control bleeding, remove excessive tissue, and promote healing by disrupting the blood supply to the affected area.The chemical agent is applied topically to the granulation tissue, causing it to necrose and eventually slough off, facilitating the progression to the next stage of wound healing. This is distinct from procedures involving the removal or excision of the granulation tissue.
Example 1: A patient presents with a chronic wound with excessive granulation tissue ("proud flesh") hindering healing. The physician performs chemical cauterization using silver nitrate to destroy the excess tissue, promoting better wound healing., A patient has a pyogenic granuloma that bleeds easily. The physician uses chemical cauterization to control bleeding and remove the granuloma., Following a surgical procedure, a patient develops excessive granulation tissue at the incision site. The physician uses chemical cauterization to reduce the granulation tissue and facilitate healing.
Detailed medical history, physical examination documenting the granulation tissue, description of the chemical agent used, amount applied, and the method of application.Post-procedure notes on wound healing and any complications.Photographs of the wound before and after the procedure are recommended.
** The choice of chemical agent depends on the clinical situation.It's crucial to avoid damaging healthy surrounding tissue.Post-procedure instructions for wound care and follow-up should be included in the patient's record.
- Revenue Code: P6A (MINOR PROCEDURES - SKIN)
- Payment Status: Active
- Specialties:Podiatry, Dermatology, Wound Care
- Place of Service:Office, Outpatient Hospital, Ambulatory Surgical Center