Overview of CPT Code 24126: Excision of benign lesion, upper arm

Overview of CPT Code 24126: Excision of benign lesion, upper arm

CPT Code 24126 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 24126 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, shape, or color, 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 lesion's appearance, such as bleeding or crusting.

Causes and Risk Factors

Several factors can contribute to the development of benign lesions on the upper arm.

• Genetic predisposition to skin growths.
• Previous skin injuries or trauma.
• Chronic skin conditions, such as eczema.
• Age-related skin changes.

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 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 steps to prepare for the excision:

• Consult with the surgeon about any medications being taken.
• Avoid blood thinners and certain supplements as advised.
• Arrive at the facility with clean skin, free of lotions or oils.
• Arrange for transportation home post-procedure if sedation is used.

Recovery and Aftercare

Post-procedure recovery typically involves:

• Resting for the remainder of the day 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, this procedure may carry some risks, including:

• Infection at the surgical site.
• Excessive bleeding.
• Scarring or changes in skin pigmentation.
• Recurrence of the lesion.

Secure, compliant, and built for trust

HIPAA-compliant and designed with privacy in mind, your patient’s data is protected. Focus on care while we safeguard your information.

Learn more

Post-Procedure Follow-Up

Follow-up appointments are important for monitoring recovery:

• Initial follow-up within 1-2 weeks to check the surgical site.
• Suture removal if applicable, typically within 7-14 days.
• Further follow-ups as needed based on healing progress.

Alternative Treatments

In some cases, non-surgical options may be considered:

• Observation for asymptomatic lesions.
• Cryotherapy to freeze off 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 incision.
• 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:

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

Billing and Coding Information

CPT Code: 24126

Category: Surgical Procedures

Common Modifiers:

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

Average Cost and Insurance Coverage

The cost of the procedure can vary widely:

• Average cost ranges from $500 to $2,000 depending on complexity.
• Most insurance plans cover excision of benign lesions.
• Patients should verify coverage with their insurance provider.

Related CPT Codes

• 24075 - Excision of soft tissue mass, upper arm
• 24120 - Excision of benign lesion, upper arm
• 24125 - Excision of benign lesion, upper arm
• 24076 - Injection of corticosteroid into shoulder joint