Overview of CPT Code 24065: Excision of soft tissue mass, upper arm
CPT Code 24065 refers to the surgical excision of a soft tissue mass located in the upper arm. This procedure is typically performed to remove benign or malignant tumors, cysts, or other abnormal growths that may cause discomfort or pose a risk to the patient's health.
When CPT Code 24065 is Used?
This procedure is indicated in various clinical scenarios.
- Presence of a palpable soft tissue mass in the upper arm.
- Suspicion of malignancy based on imaging or physical examination.
- Pain or discomfort associated with the mass.
- Cosmetic concerns regarding the appearance of the mass.
- Recurrent infections or complications related to the mass.
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.
- Pain or tenderness in the area of the mass.
- Swelling or inflammation around the mass.
- Limited range of motion in the shoulder or arm.
- Changes in skin color or texture over the mass.
Causes and Risk Factors
Understanding the causes and risk factors can help in prevention and early detection.
- Genetic predisposition to certain tumors.
- Previous trauma or injury to the upper arm.
- Chronic inflammation or infection.
- Age-related changes in tissue structure.
- Exposure to certain environmental factors or toxins.
Diagnostic Tests Before Procedure
Several diagnostic tests may be performed to assess the mass before excision.
- Ultrasound imaging to evaluate the characteristics of the mass.
- MRI or CT scans for detailed imaging of the soft tissue.
- Fine needle aspiration biopsy to obtain a sample for histological analysis.
- Blood tests to check for signs of infection or other underlying conditions.
Procedure Description
The excision procedure involves several key steps.
- Patient is positioned comfortably, and the area is cleaned and sterilized.
- Local anesthesia is administered to numb the area around the mass.
- An incision is made over the mass to access the tissue.
- The mass is carefully excised along with a margin of healthy tissue.
- The incision is closed with sutures or staples, and a sterile dressing is applied.
Preparation for the Procedure
Proper preparation is essential for a successful procedure.
- Consult with the surgeon to discuss the procedure and any concerns.
- Avoid blood-thinning medications for a week prior to surgery.
- Arrange for transportation to and from the procedure.
- Follow any fasting instructions if sedation is planned.
- Wear loose-fitting clothing to the appointment.
Recovery and Aftercare
Post-operative care is crucial for healing.
- Rest for the first few days after the procedure.
- Keep the surgical site clean and dry.
- Change dressings as instructed by the healthcare provider.
- Take prescribed pain medications as needed.
- Attend follow-up appointments to monitor healing.
Possible Complications
While complications are rare, they can occur.
- Infection at the surgical site.
- Excessive bleeding or hematoma formation.
- Scarring or changes in skin sensation.
- Recurrence of the mass if not completely excised.
- Allergic reactions to anesthesia or medications.
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Post-Procedure Follow-Up
Follow-up care is important for recovery.
- Schedule a follow-up visit within one to two weeks post-surgery.
- Monitor for signs of infection or complications.
- Discuss pathology results if a biopsy was performed.
- Evaluate the healing process and remove sutures if necessary.
Alternative Treatments
In some cases, non-surgical options may be considered.
- Observation for benign masses without symptoms.
- Corticosteroid injections to reduce inflammation.
- Physical therapy for pain management.
- Medication for underlying conditions contributing to mass formation.
Home Care Tips
Patients can take steps to aid their recovery at home.
- Keep the surgical area clean and dry.
- Avoid strenuous activities for at least two weeks.
- Apply ice packs to reduce swelling if needed.
- Follow a balanced diet to support healing.
- Stay hydrated and rest adequately.
Patient Education & Prevention
Education can help prevent recurrence and promote health.
- Regular self-examinations for any new or changing lumps.
- Maintain a healthy lifestyle to reduce cancer risk.
- Report any unusual symptoms to a healthcare provider promptly.
- Follow up on any previous skin or soft tissue issues.
Billing and Coding Information
CPT Code: 24065
Category: Surgery
Common Modifiers:
- 50 - Bilateral procedure
- 59 - Distinct procedural service
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
- 10000 - Incision and drainage of a cyst
Frequently Asked Questions (FAQs)
What is the purpose of this procedure?
The procedure aims to remove abnormal growths in the upper arm.
Is this procedure painful?
Local anesthesia is used to minimize pain during the procedure.
How long does recovery take?
Most patients recover within a few weeks, depending on the extent of the excision.
Will there be scarring?
Some scarring is possible, but it typically fades over time.
Can I return to normal activities after surgery?
You should avoid strenuous activities for at least two weeks post-surgery.
