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Overview of CPT Code 24120: Excision of benign lesion, upper arm

Overview of CPT Code 24120: Excision of benign lesion, upper arm

CPT Code 24120 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 24120 is Used?

This code is applicable in various clinical scenarios, including:

  • 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, including:

  • 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

Several factors can contribute to the development of benign lesions on the upper arm, including:

  • Genetic predisposition to skin growths.
  • Previous skin injuries or trauma.
  • Chronic skin conditions such as eczema or psoriasis.
  • Sun exposure leading to skin changes.

Diagnostic Tests Before Procedure

Before proceeding with the excision, the following diagnostic tests may be conducted:

  • Physical examination of the lesion.
  • Ultrasound imaging to assess the depth and characteristics of the lesion.
  • Biopsy if there is any suspicion of malignancy.

Procedure Description

The excision procedure typically follows these 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.
  • Dressing is applied to protect the wound.

Preparation for the Procedure

Patients should follow these preparation steps prior to the procedure:

  • Avoid blood-thinning medications for a week before surgery.
  • Inform the surgeon of any allergies or medical conditions.
  • Arrange for transportation home post-procedure.
  • Wear loose-fitting clothing to the appointment.

Recovery and Aftercare

Post-procedure recovery typically involves:

  • Resting for the first 24 hours after the procedure.
  • Keeping the surgical site clean and dry.
  • Changing the dressing as instructed by the healthcare provider.
  • Taking prescribed pain medications as needed.

Possible Complications

While generally safe, the procedure may carry some risks, including:

  • Infection at the surgical 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 care is essential for monitoring recovery, typically involving:

  • A follow-up appointment within 1-2 weeks to check the surgical site.
  • Removal of sutures if non-dissolvable sutures were used.
  • Monitoring for any signs of complications.

Alternative Treatments

In some cases, alternative management options may include:

  • Observation if the lesion is asymptomatic and stable.
  • Cryotherapy to freeze the lesion.
  • Laser therapy for cosmetic concerns.

Home Care Tips

Patients can follow these tips for effective home care:

  • Keep the area clean and dry.
  • Avoid strenuous activities that may stress the surgical site.
  • Monitor for signs of infection, such as increased redness or swelling.
  • Follow all post-operative instructions provided by the healthcare team.

Patient Education & Prevention

To prevent recurrence and promote skin health, patients should consider:

  • Regular skin checks for new or changing lesions.
  • Using sunscreen to protect the skin from UV damage.
  • Maintaining a healthy lifestyle to support skin health.

Billing and Coding Information

CPT Code: 24120

Category: Surgery

Common Modifiers:

  • 50 - Bilateral procedure
  • 59 - Distinct procedural service

Average Cost and Insurance Coverage

The cost for this procedure can vary widely based on several factors:

  • Average cost ranges from $500 to $2,000 depending on the complexity.
  • Most insurance plans cover the procedure if deemed medically necessary.
  • Patients should verify coverage with their insurance provider.

Frequently Asked Questions (FAQs)

Is the excision 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?

It is recommended to have someone drive you home after the procedure.

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