Overview of CPT Code 24137: Excision of benign tumor, upper arm

Overview of CPT Code 24137: Excision of benign tumor, upper arm

CPT Code 24137 refers to the surgical excision of a benign tumor located in the upper arm. This procedure is typically performed to remove non-cancerous growths that may cause discomfort, cosmetic concerns, or functional impairment.

When CPT Code 24137 is Used?

This procedure is indicated in various clinical scenarios.

• Presence of a benign tumor in the upper arm causing pain or discomfort.
• Tumors that are growing in size or changing in appearance.
• Cosmetic concerns regarding the appearance of the tumor.
• Functional impairment due to the tumor affecting arm movement.

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.
• Restricted movement or function of the arm.
• Changes in the skin over the tumor, such as color or texture.

Causes and Risk Factors

Understanding the causes and risk factors can help in prevention and early detection.

• Genetic predisposition to developing benign tumors.
• Previous history of benign tumors in the family.
• Certain skin conditions that may lead to tumor formation.
• Age, as some benign tumors are more common in specific age groups.

Diagnostic Tests Before Procedure

Several diagnostic tests may be performed to confirm the need for excision.

• Ultrasound imaging to assess the size and characteristics of the tumor.
• MRI to evaluate the tumor's relationship with surrounding tissues.
• Biopsy to determine the nature of the tumor if there is any doubt.

Procedure Description

The excision procedure involves several key steps.

• Patient is positioned comfortably, and the area is cleaned and sterilized.
• Local anesthesia is administered to numb the area around the tumor.
• An incision is made over the tumor to access and remove it.
• The tumor is excised along with a margin of healthy tissue if necessary.
• The incision is closed with sutures or staples, and a dressing is applied.

Preparation for the Procedure

Proper preparation is essential for a successful procedure.

• Consult with the surgeon about any medications you are taking.
• Avoid blood thinners and certain supplements as advised.
• Arrive at the facility with a responsible adult to assist post-procedure.
• Follow any fasting instructions if sedation is planned.

Recovery and Aftercare

Post-procedure care is crucial for healing.

• Rest for the first few days and avoid strenuous activities.
• Keep the incision site clean and dry, changing dressings as instructed.
• Take prescribed pain medications as needed.
• Attend follow-up appointments to monitor healing.

Possible Complications

While complications are rare, they can occur.

• Infection at the incision site.
• Excessive bleeding during or after the procedure.
• 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.

• Schedule a follow-up visit within 1-2 weeks post-surgery.
• 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 tumors.

• Observation for small, asymptomatic tumors.
• Corticosteroid injections to reduce inflammation.
• Cryotherapy to freeze and destroy the tumor tissue.

Home Care Tips

Simple home care can aid in recovery.

• Keep the surgical area clean and dry.
• Avoid soaking the incision in water until cleared by the doctor.
• Use ice packs to reduce swelling if recommended.
• Follow a balanced diet to support healing.

Patient Education & Prevention

Education can help in preventing recurrence.

• Regular skin checks for new or changing growths.
• Awareness of family history of benign tumors.
• Healthy lifestyle choices to support overall skin health.

Billing and Coding Information

CPT Code: 24137

Category: Surgery

Common Modifiers:

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

Average Cost and Insurance Coverage

Costs can vary based on several factors.

• Average cost ranges from $1,500 to $3,000.
• Insurance typically covers the procedure if deemed medically necessary.
• Out-of-pocket costs depend on the insurance plan and deductible.

Related CPT Codes

• 24136 - Excision of benign lesion, upper arm
• 11400 - Excision, benign skin lesion, face, ears, scalp, neck; excised diameter over 4.0 cm.
• 11401 - Excision, benign skin lesion, face, ears, scalp, neck; excised diameter over 4.0 cm.
• 11402 - Excision, benign skin lesion, face, ears, scalp, neck; excised diameter over 4.0 cm.
• 11403 - Excision, benign skin lesion, face, ears, scalp; excised diameter over 4.0 cm.