Overview of CPT Code 24139: Excision of Tumor, Upper Arm
CPT Code 24139 refers to the surgical excision of a tumor located in the upper arm. This procedure is performed to remove benign or malignant growths, ensuring complete removal to prevent recurrence and to facilitate further pathological examination.
When CPT Code 24139 is Used?
This procedure is indicated in various clinical scenarios.
- Presence of a palpable tumor in the upper arm.
- Suspicion of malignancy based on imaging or physical examination.
- Need for definitive diagnosis through histopathological analysis.
- Tumors causing pain or functional impairment.
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 discomfort in the area of the tumor.
- Changes in skin appearance over the tumor, such as color or texture.
- Limited range of motion in the shoulder or arm.
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 cancer or other malignancies.
- Exposure to radiation or carcinogenic substances.
- Age and gender, as some tumors are more prevalent in specific demographics.
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 the tumor and surrounding tissues.
- Biopsy to determine the nature of the tumor (benign or malignant).
- Blood tests to check for markers associated with specific tumors.
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.
- 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 any fasting instructions if sedation 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 surgical site clean and dry; follow dressing change instructions.
- Take prescribed pain medications as needed.
- Attend follow-up appointments to monitor healing and remove sutures if necessary.
Possible Complications
While complications are rare, they can occur.
- Infection at the surgical 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 to assess healing.
- Further follow-ups 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.
- Cryotherapy for superficial skin tumors.
- Radiation therapy for certain malignant tumors.
- Medications for specific tumor types, such as targeted therapies.
Home Care Tips
Patients can take steps at home to aid recovery.
- Keep the surgical area clean and dry.
- Monitor for signs of infection, such as increased redness or discharge.
- Avoid heavy lifting or strenuous activities until cleared by the doctor.
- Follow a balanced diet to support healing.
Patient Education & Prevention
Education is key to prevention and early detection.
- Regular skin checks for new or changing moles.
- Awareness of family history of skin cancer or tumors.
- Sun protection to reduce skin cancer risk.
- Prompt evaluation of any new lumps or changes in the skin.
Billing and Coding Information
CPT Code: 24139
Category: Surgical Procedures
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 depending on facility and complexity.
- Most insurance plans cover 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 the excision?
The excision aims to remove a tumor for diagnosis and treatment.
Will I need anesthesia?
Yes, local anesthesia is typically used to numb the area.
How long is the recovery period?
Most patients recover within 1-2 weeks, depending on individual healing.
Are there any restrictions after surgery?
Yes, avoid heavy lifting and strenuous activities for a few weeks.
