Overview of CPT Code 24145: Excision of Tumor, Upper Arm
CPT Code 24145 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 24145 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.
- Tumors causing pain 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 discomfort in the area of the tumor.
- Changes in skin appearance over the tumor, such as redness or ulceration.
- Limited range of motion in the shoulder or arm.
Causes and Risk Factors
Understanding the causes and risk factors can help in 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.
- 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 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 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.
- Avoid blood thinners and certain medications as advised by the physician.
- Inform the doctor about any allergies or medical conditions.
- Arrange for transportation to and from the procedure.
- Follow fasting instructions if sedation is planned.
Recovery and Aftercare
Post-procedure care is crucial for healing.
- Rest for the first few days post-surgery.
- Keep the surgical site clean and dry; follow wound care instructions.
- Take prescribed pain medications as needed.
- Attend follow-up appointments for suture removal and monitoring.
Possible Complications
While generally safe, there are potential risks associated with the procedure.
- 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 for suture removal.
- Regular check-ups to monitor for any signs of recurrence.
- Pathology results review to determine further treatment if necessary.
Alternative Treatments
In some cases, non-surgical options may be considered.
- Observation for benign tumors without symptoms.
- Radiation therapy for certain types of malignant tumors.
- Cryotherapy or laser therapy for superficial skin tumors.
Home Care Tips
Patients can take steps at home to aid recovery.
- Keep the surgical area clean and dry.
- Avoid strenuous activities that may strain the arm.
- Monitor for signs of infection, such as increased redness or discharge.
- Follow a balanced diet to support healing.
Patient Education & Prevention
Education is key to preventing recurrence.
- Regular skin checks for new or changing lesions.
- Sun protection to reduce skin cancer risk.
- Awareness of family history related to tumors.
- Prompt evaluation of any new lumps or changes in the skin.
Billing and Coding Information
CPT Code: 24145
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 $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 the tumor completely and prevent recurrence.
Will I need anesthesia?
Yes, local anesthesia is typically used to numb the area during the procedure.
How long is the recovery period?
Most patients can expect a recovery period of 1 to 2 weeks.
Are there any restrictions after surgery?
Yes, avoid heavy lifting and strenuous activities for a few weeks.
What should I do if I notice signs of infection?
Contact your healthcare provider immediately if you see increased redness, swelling, or discharge.
