Overview of CPT Code 24130: Excision of benign lesion, upper arm

Overview of CPT Code 24130: Excision of benign lesion, upper arm

CPT Code 24130 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 24130 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.

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 appearance of the lesion.

Causes and Risk Factors

Several factors may 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.
• 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 lesion's characteristics.
• 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 before the procedure:

• Avoid blood-thinning medications for a week prior.
• Inform the doctor of any allergies or medical conditions.
• Arrive at the facility with clean skin, free of lotions or oils.
• Arrange for transportation if sedation is used.

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 or hematoma formation.
• 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 incision.
• Removal of sutures if non-dissolvable sutures were used.
• Monitoring for any signs of complications.

Alternative Treatments

In some cases, patients may consider non-surgical options, including:

• Observation if the lesion is asymptomatic.
• Cryotherapy to freeze the lesion.
• Laser therapy for cosmetic removal.

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 provider.

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 skin from UV damage.
• Maintaining a healthy lifestyle to support skin health.

Billing and Coding Information

CPT Code: 24130

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.
• Insurance may cover the procedure if deemed medically necessary.
• Out-of-pocket costs depend on the patient's insurance plan.

Related CPT Codes

• 24075 - Excision of soft tissue mass, upper arm
• 24100 - Excision of benign lesion, upper arm
• 24105 - Excision of benign lesion, upper arm
• 24115 - Excision of soft tissue tumor, upper arm
• 24120 - Excision of benign lesion, upper arm