Overview of CPT Code 24116: Excision of benign lesion, upper arm
CPT Code 24116 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 24116 is Used?
This procedure is indicated 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, shape, or color.
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 appearance of the lesion.
Causes and Risk Factors
Understanding the causes and risk factors can help in prevention.
- 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
Several diagnostic tests may be performed to guide the procedure.
- Physical examination of the lesion.
- Ultrasound imaging to assess the lesion's characteristics.
- Biopsy if there is uncertainty about the nature of the lesion.
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.
- A surgical incision is made around the lesion.
- The lesion is carefully excised along with a margin of healthy tissue.
- The incision is closed with sutures or adhesive strips.
Preparation for the Procedure
Patients should follow specific guidelines before the procedure.
- Avoid blood thinners for a week prior to the procedure.
- Inform the doctor of any allergies or medications.
- Arrive with clean skin and avoid applying lotions or creams.
Recovery and Aftercare
Post-procedure care is essential for optimal recovery.
- Keep the surgical site clean and dry.
- Change dressings as instructed by the healthcare provider.
- Take prescribed pain medications as needed.
- Avoid strenuous activities for a few weeks.
Possible Complications
While generally safe, there are potential risks associated with the procedure.
- Infection at the surgical site.
- Scarring or changes in skin pigmentation.
- Recurrence of the lesion.
- Nerve damage or sensitivity in the area.
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Post-Procedure Follow-Up
Follow-up care is important to monitor healing.
- Schedule a follow-up appointment within 1-2 weeks.
- Monitor for signs of infection or complications.
- Discuss pathology results if a biopsy was performed.
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.
Home Care Tips
Patients can take steps at home to aid recovery.
- Keep the area clean and avoid touching it.
- Apply ice packs to reduce swelling if needed.
- 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 skin trauma and irritants.
Billing and Coding Information
CPT Code: 24116
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 $500 to $2,000.
- Most insurance plans cover the procedure if deemed medically necessary.
- Out-of-pocket costs depend on the insurance plan and deductible.
Related CPT Codes
Frequently Asked Questions (FAQs)
Is the procedure painful?
Local anesthesia is used, so you should not feel pain during the procedure.
How long does the procedure take?
The excision typically takes about 30 minutes to an hour.
Will there be a scar after the procedure?
There may be a scar, but it usually fades over time.
Can I drive after the procedure?
You should arrange for someone to drive you home, especially if sedation is used.
