Measuring an ED&C

Dermatology
Written By William Via

Question:

How are measurements determined for electrodessication and curettage (ED&C) procedures for destruction of malignant lesions CPT codes 17260-17286? Is it the lesion only or the lesion after curettage?

Answer:

Great question—this detail can make a big difference in accurate coding. For CPT codes 17260–17286, which describe destruction of malignant skin lesions (including methods like electrodessication and curettage), the measurement is based on the lesion diameter prior to the procedure, not the size of the wound or defect after curettage.

Here’s what’s key:

  • Measure the lesion itself before any destruction technique is applied.

  • Do not measure the post-procedure defect or area of tissue removed.

  • The method of destruction (e.g., ED&C, cryosurgery, laser) does not affect code selection—only anatomic location and lesion size matter.

*This response is based on the best information available as of 8/14/25.

 
 
 
William Via
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