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Overview of CPT Code 24105: Excision of benign lesion, upper arm

Overview of CPT Code 24105: Excision of benign lesion, upper arm

CPT Code 24105 refers to the surgical excision of a benign lesion located on the upper arm. This procedure is typically performed to remove non-cancerous growths that may cause discomfort, cosmetic concerns, or potential complications.

When CPT Code 24105 is Used?

This code is applicable in various clinical scenarios.

  • Presence of a benign tumor or cyst on the upper arm.
  • Lesions that are symptomatic, such as causing pain or irritation.
  • Cosmetic concerns regarding the appearance of the lesion.
  • Lesions that have changed in size or appearance, warranting removal.

Symptoms Indicating This Procedure

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

  • Visible lump or bump on the upper arm.
  • Pain or tenderness in the area of the lesion.
  • Itching or irritation around the lesion.
  • Changes in the color or texture of the skin over the lesion.

Causes and Risk Factors

Understanding the causes and risk factors can help in prevention and early detection.

  • Genetic predisposition to skin lesions.
  • Previous skin injuries or infections.
  • Sun exposure leading to skin changes.
  • Certain skin conditions, such as seborrheic keratosis.

Diagnostic Tests Before Procedure

Before proceeding with the excision, certain diagnostic tests may be conducted.

  • Physical examination of the lesion.
  • Dermatoscopy to assess the characteristics of the lesion.
  • Biopsy if there is suspicion of malignancy.

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 around the lesion to remove it completely.
  • The wound is closed with sutures or adhesive strips.
  • Dressing is applied to protect the area.

Preparation for the Procedure

Proper preparation can enhance the success of the procedure.

  • Avoid blood thinners for a few days prior to the procedure.
  • Inform the doctor of any allergies or medical conditions.
  • Arrange for transportation if sedation is used.
  • Follow any specific instructions provided by the healthcare provider.

Recovery and Aftercare

Post-procedure care is crucial for optimal healing.

  • Rest for the first 24 hours after the procedure.
  • Keep the incision site clean and dry.
  • Change the dressing as instructed by the healthcare provider.
  • Monitor for signs of infection, such as increased redness or discharge.

Possible Complications

While complications are rare, they can occur.

  • Infection at the incision site.
  • Excessive bleeding during or after the procedure.
  • Scarring or changes in skin pigmentation.
  • Recurrence of the lesion.
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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-procedure.
  • Remove sutures if non-dissolvable ones were used.
  • Discuss pathology results if a biopsy was performed.
  • Monitor healing and address any concerns.

Alternative Treatments

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

  • Observation for asymptomatic lesions.
  • Cryotherapy to freeze and remove the lesion.
  • Topical treatments for certain skin conditions.
  • Laser therapy for cosmetic concerns.

Home Care Tips

Simple home care can aid in recovery.

  • Keep the area clean and avoid picking at the wound.
  • Apply ice packs to reduce swelling if needed.
  • Stay hydrated and maintain a balanced diet.
  • Follow all aftercare instructions provided by the healthcare provider.

Patient Education & Prevention

Educating patients can help prevent future lesions.

  • Regular skin checks for new or changing lesions.
  • Use sunscreen to protect skin from UV damage.
  • Avoid excessive sun exposure, especially during peak hours.
  • Report any changes in existing lesions to a healthcare provider.

Billing and Coding Information

CPT Code: 24105

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 $300 to $1,500 depending on complexity.
  • Most insurance plans cover the procedure if deemed medically necessary.
  • Out-of-pocket costs may apply depending on the insurance policy.

Frequently Asked Questions (FAQs)

What is a benign lesion?

A benign lesion is a non-cancerous growth that does not spread to other parts of the body.

Will I have a scar after the procedure?

Some scarring is possible, but it often fades over time.

How long does the procedure take?

The excision typically takes about 30 minutes to an hour.

Is the procedure painful?

Local anesthesia is used to minimize discomfort during the procedure.

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