Overview of CPT Code 23920: Excision of benign tumor, soft tissue of upper arm or forearm

Overview of CPT Code 23920: Excision of benign tumor, soft tissue of upper arm or forearm

CPT Code 23920 refers to the surgical excision of a benign tumor located in the soft tissue of the upper arm or forearm. This procedure is typically performed to remove non-cancerous growths that may cause discomfort, functional impairment, or cosmetic concerns.

When CPT Code 23920 is Used?

This code is applicable in various clinical scenarios.

• Presence of a benign tumor causing pain or discomfort.
• Tumors that are growing in size or changing in appearance.
• Cosmetic concerns regarding the appearance of the tumor.
• Functional impairment due to the location of the tumor.

Symptoms Indicating This Procedure

Patients may report several symptoms that lead to the consideration of this procedure.

• A noticeable lump or mass in the upper arm or forearm.
• Pain or tenderness in the area of the tumor.
• Restricted movement or function of the arm.
• Changes in the skin over the tumor, such as color or texture.

Causes and Risk Factors

Understanding the causes and risk factors can help in identifying patients who may need this procedure.

• Genetic predisposition to benign tumors.
• Previous trauma or injury to the area.
• Certain skin conditions that may lead to tumor formation.
• Age-related changes in tissue composition.

Diagnostic Tests Before Procedure

Several diagnostic tests may be conducted to confirm the need for excision.

• Ultrasound imaging to assess the size and characteristics of the tumor.
• MRI scans for detailed imaging of soft tissue.
• Biopsy to determine the nature of the tumor if there is uncertainty.

Procedure Description

The excision procedure involves several key steps.

• Patient is positioned comfortably and the area is cleaned.
• Local anesthesia is administered to numb the area.
• An incision is made over the tumor to access the tissue.
• The tumor is carefully excised along with a margin of healthy tissue.
• The incision is closed with sutures or staples, and a dressing is applied.

Preparation for the Procedure

Proper preparation is essential for a successful procedure.

• Avoid blood thinners and certain medications as advised by the physician.
• Inform the doctor about any allergies or medical conditions.
• Arrange for transportation to and from the procedure.
• Follow any fasting instructions if sedation is planned.

Recovery and Aftercare

Post-procedure care is crucial for healing.

• Rest for the first few days following the procedure.
• Keep the surgical site clean and dry.
• Change dressings as instructed by the healthcare provider.
• Take prescribed pain medications as needed.

Possible Complications

While complications are rare, they can occur.

• Infection at the surgical site.
• Excessive bleeding during or after the procedure.
• Scarring or changes in skin sensation.
• Recurrence of the tumor in some cases.

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Post-Procedure Follow-Up

Follow-up appointments are important for monitoring recovery.

• Schedule a follow-up visit within 1-2 weeks post-surgery.
• Monitor for signs of infection or complications.
• Discuss pathology results if a biopsy was performed.
• Evaluate the healing process and suture removal if necessary.

Alternative Treatments

There are non-surgical options available for managing benign tumors.

• Observation for small, asymptomatic tumors.
• Corticosteroid injections to reduce inflammation.
• Cryotherapy to freeze and destroy abnormal tissue.
• Laser therapy for superficial tumors.

Home Care Tips

Patients can follow these tips for better recovery.

• Keep the surgical area clean and dry.
• Avoid strenuous activities for a few weeks.
• Monitor for any signs of infection, such as redness or swelling.
• Follow up with the healthcare provider as scheduled.

Patient Education & Prevention

Educating patients can help prevent recurrence.

• Regular skin checks for new or changing growths.
• Sun protection to reduce skin damage.
• Healthy lifestyle choices to support overall skin health.
• Promptly report any new symptoms or changes to a healthcare provider.

Billing and Coding Information

CPT Code: 23920

Category: Surgery

Common Modifiers:

• 50 - Bilateral procedure
• RT - Right side
• LT - Left side

Average Cost and Insurance Coverage

Costs can vary based on several factors.

• Average cost ranges from $1,500 to $3,000.
• Insurance may cover the procedure if deemed medically necessary.
• Out-of-pocket costs depend on the patient's insurance plan.

Related CPT Codes

• 23921 - Open treatment of humeral shaft fracture
• 11400 - Excision, benign skin lesion, face, ears, scalp, neck; excised diameter over 4.0 cm.
• 11401 - Excision, benign skin lesion, face, ears, scalp, neck; excised diameter over 4.0 cm.
• 11402 - Excision, benign skin lesion, face, ears, scalp, neck; excised diameter over 4.0 cm.
• 11406 - Excision, benign skin lesion; face, ears, scalp, neck, excised diameter over 4.0 cm