Overview of CPT Code 24140: Excision of benign lesion, upper arm

Overview of CPT Code 24140: Excision of benign lesion, upper arm

CPT Code 24140 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 24140 is Used?

This code is applicable 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 or appearance, warranting removal.

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 color or texture of the skin over 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 or psoriasis.
• 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 depth and characteristics of the lesion.
• Biopsy to rule out malignancy if there are concerning features.

Procedure Description

The excision procedure involves several key steps.

• Patient is positioned comfortably and the upper arm is cleaned with antiseptic.
• Local anesthesia is administered to numb the area around the lesion.
• A surgical incision is made around the lesion to remove it completely.
• The excised tissue is sent for pathological examination if necessary.
• 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 or anti-inflammatory medications prior to the procedure.
• Inform the physician of any allergies, especially to anesthesia.
• Arrange for transportation home post-procedure if sedation is used.
• Follow any specific dietary instructions provided by 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.
• Change dressings as instructed by the healthcare provider.
• Take prescribed pain medications as needed.

Possible Complications

While complications are rare, they can occur.

• Infection at the surgical site.
• Excessive bleeding or hematoma formation.
• Scarring or changes in skin pigmentation.
• Recurrence of the lesion.

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Post-Procedure Follow-Up

Follow-up appointments are essential for monitoring recovery.

• Schedule a follow-up visit within 1-2 weeks to assess healing.
• Monitor for any signs of infection or complications.
• Discuss pathology results if the lesion was sent for analysis.

Alternative Treatments

In some cases, non-surgical options may be considered.

• Observation for asymptomatic lesions.
• Cryotherapy to freeze and remove superficial lesions.
• Topical treatments for certain benign skin conditions.

Home Care Tips

Simple home care can aid in recovery.

• Keep the area clean and avoid picking at the stitches.
• Apply ice packs to reduce swelling if needed.
• Stay hydrated and maintain a balanced diet to support healing.
• Avoid strenuous activities that may stress the surgical site.

Patient Education & Prevention

Education is key to preventing future lesions.

• Regular skin checks for new or changing lesions.
• Use sunscreen to protect skin from UV damage.
• Avoid excessive sun exposure, especially during peak hours.
• Consult a dermatologist for any concerning skin changes.

Billing and Coding Information

CPT Code: 24140

Category: Surgical Procedures

Common Modifiers:

• -50
• -RT
• -LT

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 the procedure if deemed medically necessary.
• Out-of-pocket costs may apply depending on the insurance policy.

Related CPT Codes

• 24075 - Excision of soft tissue mass, upper arm
• 24076 - Injection of corticosteroid into shoulder joint