Overview of CPT Code 24138:'Excision of benign lesion, upper arm'
CPT Code 24138 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 24138 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.
- Chronic skin conditions such as eczema.
- Sun exposure leading to skin changes.
Diagnostic Tests Before Procedure
Certain tests may be conducted to confirm the diagnosis before proceeding with the excision.
- Physical examination of the lesion.
- Ultrasound imaging to assess the lesion's characteristics.
- Biopsy to rule out malignancy if indicated.
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 safety and effectiveness of the procedure.
- Avoid blood thinners or anti-inflammatory medications prior to surgery.
- Inform the surgeon of any allergies or medical conditions.
- Arrange for transportation home post-procedure.
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.
- Scarring or changes in skin texture.
- Bleeding or hematoma formation.
- Recurrence of the lesion.
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Post-Procedure Follow-Up
Follow-up appointments are essential for monitoring recovery.
- Initial follow-up within 1-2 weeks for suture removal.
- Regular check-ups to monitor for any signs of recurrence.
- Patient should report any unusual symptoms immediately.
Alternative Treatments
In some cases, non-surgical options may be considered.
- Observation for asymptomatic lesions.
- Cryotherapy to freeze and remove the lesion.
- Topical treatments for superficial lesions.
Home Care Tips
Patients can take several steps at home to aid recovery.
- Avoid strenuous activities that may stress the surgical site.
- Keep the area moisturized as advised by the physician.
- Monitor for signs of infection such as increased redness or discharge.
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: 24138
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 $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
Frequently Asked Questions (FAQs)
What is a benign lesion?
A benign lesion is a non-cancerous growth that does not spread to other parts of the body.
How long does the procedure take?
The excision procedure 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.
Is the procedure painful?
Local anesthesia is used to minimize pain during the procedure.
