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Overview of CPT Code 24136: Excision of benign lesion, upper arm

Overview of CPT Code 24136: Excision of benign lesion, upper arm

CPT Code 24136 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 24136 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 and early detection.

  • 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

Before the excision, certain diagnostic tests may be performed.

  • Physical examination of the lesion.
  • Ultrasound imaging to assess the depth and characteristics of the lesion.
  • Biopsy may be performed to confirm the benign 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

Proper preparation can enhance the success of the procedure.

  • Avoid blood thinners and certain medications as advised by the physician.
  • Arrive at the facility with clean skin, free of lotions or oils.
  • Discuss any allergies or medical conditions with the healthcare provider.

Recovery and Aftercare

Post-procedure care is crucial for optimal healing.

  • Rest for the first 24 hours after the procedure.
  • Keep the surgical site clean and dry.
  • Follow up for suture removal as directed.
  • Use prescribed pain medications as needed.

Possible Complications

While complications are rare, they can occur.

  • 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.

  • Schedule a follow-up appointment within 1-2 weeks post-procedure.
  • 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 dry.
  • Avoid strenuous activities that may stress the incision.
  • Apply ice packs to reduce swelling if needed.

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.
  • Maintain a healthy lifestyle to support skin health.

Billing and Coding Information

CPT Code: 24136

Category: Surgery

Common Modifiers:

  • 50 - Bilateral procedure
  • 59 - Distinct procedural service

Average Cost and Insurance Coverage

Costs can vary based on location and insurance.

  • Average cost ranges from $300 to $1,500.
  • Most insurance plans cover the procedure if deemed medically necessary.

Frequently Asked Questions (FAQs)

Is the excision procedure painful?

Local anesthesia is used to minimize 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?

Some scarring is possible, but it usually fades over time.

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