Overview of CPT Code 24135: Excision of tumor, soft tissue of upper arm
CPT Code 24135 refers to the surgical excision of a tumor located in the soft tissue of the upper arm. This procedure is typically performed to remove benign or malignant tumors, ensuring complete removal to prevent recurrence and to facilitate further pathological examination.
When CPT Code 24135 is Used?
This procedure is indicated in various clinical scenarios.
- Presence of a palpable soft tissue tumor in the upper arm.
- Suspicion of malignancy based on imaging or physical examination.
- Tumors causing pain, discomfort, or functional impairment.
- Need for definitive diagnosis through histopathological examination.
Symptoms Indicating This Procedure
Patients may report several symptoms that lead to the consideration of this procedure.
- A noticeable lump or mass in the upper arm.
- Pain or tenderness in the area of the tumor.
- Limited range of motion in the shoulder or elbow.
- Changes in skin color or texture over the tumor.
Causes and Risk Factors
Understanding the causes and risk factors can help in prevention and early detection.
- Genetic predisposition to certain types of tumors.
- Previous history of skin or soft tissue cancers.
- Exposure to radiation or carcinogenic substances.
- Chronic inflammation or infection in the area.
Diagnostic Tests Before Procedure
Several diagnostic tests may be performed to assess the tumor before excision.
- Ultrasound imaging to evaluate the size and characteristics of the tumor.
- MRI or CT scans for detailed imaging of soft tissue structures.
- Biopsy to determine the nature of the tumor (benign vs malignant).
- Blood tests to assess overall health and any underlying conditions.
Procedure Description
The excision procedure involves several key steps.
- Patient is positioned comfortably, and the upper arm is exposed.
- Local anesthesia is administered to numb the area.
- An incision is made over the tumor to access the soft tissue.
- The tumor is carefully excised along with a margin of healthy tissue.
- The incision is closed with sutures or staples, and a sterile dressing is applied.
Preparation for the Procedure
Proper preparation is essential for a successful procedure.
- Consult with the surgeon about medications to avoid, such as blood thinners.
- Arrange for transportation to and from the procedure.
- Follow fasting instructions if sedation or general anesthesia is planned.
- Wear loose-fitting clothing to allow easy access to the upper arm.
Recovery and Aftercare
Post-operative care is crucial for healing.
- Rest the arm and avoid strenuous activities for at least a week.
- Keep the incision site clean and dry; follow wound care instructions.
- Take prescribed pain medications as needed.
- Attend follow-up appointments for suture removal and monitoring.
Possible Complications
While complications are rare, they can occur.
- Infection at the incision site.
- Excessive bleeding or hematoma formation.
- Scarring or changes in skin sensation.
- Recurrence of the tumor if not completely excised.
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Post-Procedure Follow-Up
Follow-up care is important for monitoring recovery.
- Initial follow-up within 1-2 weeks for suture removal.
- Additional visits may be scheduled based on pathology results.
- Regular monitoring for any signs of recurrence or complications.
Alternative Treatments
In some cases, non-surgical options may be considered.
- Observation for benign tumors without symptoms.
- Radiation therapy for certain types of malignant tumors.
- Cryotherapy or laser therapy for superficial lesions.
Home Care Tips
Patients can take steps to aid their recovery at home.
- Keep the surgical area clean and dry.
- Monitor for signs of infection, such as increased redness or discharge.
- Apply ice packs to reduce swelling in the first 48 hours.
- Follow a balanced diet to support healing.
Patient Education & Prevention
Education is key to preventing recurrence.
- Regular skin checks for new or changing lesions.
- Sun protection to reduce skin cancer risk.
- Awareness of family history of skin or soft tissue cancers.
- Prompt evaluation of any new lumps or changes in the skin.
Billing and Coding Information
CPT Code: 24135
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 $1,500 to $3,000 depending on complexity.
- Insurance typically covers the procedure if deemed medically necessary.
- Out-of-pocket costs may apply depending on the insurance plan.
Related CPT Codes
Frequently Asked Questions (FAQs)
What is the purpose of this procedure?
The procedure aims to remove tumors from the upper arm to prevent complications and allow for diagnosis.
Is this procedure painful?
Local anesthesia is used to minimize pain during the procedure, and post-operative pain can be managed with medication.
How long does recovery take?
Most patients can expect a recovery period of 1 to 2 weeks, depending on individual healing.
Will there be a scar after the procedure?
Yes, there will be a scar, but it typically fades over time.
Can the tumor come back after removal?
There is a possibility of recurrence, especially if the tumor was malignant or not completely excised.
