Overview of CPT Code 24144: Excision of soft tissue tumor, upper arm
CPT Code 24144 refers to the surgical excision of a soft tissue tumor located in the upper arm. This procedure is performed to remove tumors that may be benign or malignant, ensuring complete removal to prevent recurrence and to facilitate further pathological examination.
When CPT Code 24144 is Used?
This procedure is indicated in various clinical scenarios.
- Presence of a palpable soft tissue tumor in the upper arm.
- Suspicion of malignancy based on imaging or physical examination.
- Tumors causing pain, discomfort, or functional impairment.
- Need for definitive diagnosis through histopathological examination.
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.
- Limited range of motion in the shoulder or arm.
- Changes in skin color or texture over the tumor.
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 soft tissue tumors.
- Exposure to radiation or certain chemicals.
- Age and gender, as some tumors are more common 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 scans for detailed imaging of soft tissue structures.
- Biopsy to determine the nature of the tumor (benign vs malignant).
- Blood tests to check for markers associated with certain tumors.
Procedure Description
The excision procedure involves several key steps.
- Patient is positioned comfortably, and the upper arm is exposed.
- Local anesthesia is administered to numb the area.
- An incision is made over the tumor to access the soft tissue.
- The tumor is carefully 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.
- Avoid eating or drinking for at least 6 hours before the procedure if sedation is planned.
- Discuss any medications with your doctor, especially blood thinners.
- Arrange for transportation home post-procedure due to anesthesia effects.
- Wear loose-fitting clothing to allow easy access to the upper arm.
Recovery and Aftercare
Post-procedure care is crucial for healing.
- Rest the arm and avoid strenuous activities for at least a week.
- Keep the incision site clean and dry; follow specific wound care 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 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.
- Plan for any additional treatments if malignancy is confirmed.
Alternative Treatments
In some cases, non-surgical options may be considered.
- Observation for benign tumors without symptoms.
- Corticosteroid injections to reduce inflammation.
- Radiation therapy for certain types of malignant tumors.
- Cryotherapy for superficial tumors.
Home Care Tips
Simple home care can aid in recovery.
- Keep the surgical area clean and dry.
- Apply ice packs to reduce swelling in the first 24 hours.
- Avoid soaking the incision in water until cleared by your doctor.
- Monitor for any unusual changes or symptoms and report them promptly.
Patient Education & Prevention
Education can help in early detection and prevention.
- Regular self-examinations of the arms for any new lumps.
- Awareness of family history related to soft tissue tumors.
- Healthy lifestyle choices to reduce cancer risk.
- Promptly report any changes in existing lumps to a healthcare provider.
Billing and Coding Information
CPT Code: 24144
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 depending on facility and complexity.
- Most insurance plans cover the procedure if deemed medically necessary.
- Out-of-pocket costs may vary based on deductible and co-insurance.
Related CPT Codes
Frequently Asked Questions (FAQs)
What is a soft tissue tumor?
A soft tissue tumor is a growth that develops in the soft tissues of the body, such as muscles, fat, and connective tissues.
Is the excision procedure painful?
Local anesthesia is used to minimize pain during the procedure, and any post-operative discomfort can be managed with pain medications.
How long does recovery take?
Most patients can expect to return to normal activities within 1-2 weeks, depending on the extent of the surgery.
