Overview of CPT Code 24147: Excision of soft tissue tumor, upper arm
CPT Code 24147 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 that surrounding healthy tissue is preserved.
When CPT Code 24147 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 or functional impairment.
- Cosmetic concerns regarding the appearance of the tumor.
Symptoms Indicating This Procedure
Patients may report several symptoms that warrant this surgical intervention.
- 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 tumors or cancers.
- Exposure to radiation or carcinogenic substances.
- Age and gender, as some tumors are more common in specific demographics.
Diagnostic Tests Before Procedure
Several diagnostic tests may be conducted to confirm the need for excision.
- Ultrasound imaging to assess 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 malignancy.
Procedure Description
The excision procedure follows a systematic approach.
- Patient is positioned comfortably, and the area is cleaned and sterilized.
- 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 outcome.
- Avoid eating or drinking for at least 8 hours before the procedure.
- Discuss any medications with your doctor, especially blood thinners.
- Arrange for transportation to and from the procedure.
- Wear loose-fitting clothing to allow easy access to the upper arm.
Recovery and Aftercare
Post-operative care is crucial for healing.
- Rest for the first few days following the procedure.
- Keep the surgical site clean and dry; follow 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 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 check the surgical site.
- Additional visits 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 that are not causing symptoms.
- Corticosteroid injections to reduce inflammation.
- Radiation therapy for certain malignant tumors as an adjunct to surgery.
Home Care Tips
Simple home care can aid in 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 swelling.
- Follow a balanced diet to support healing.
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 of tumors or cancers.
- Consultation with a healthcare provider for any concerning changes.
Billing and Coding Information
CPT Code: 24147
Category: Surgical Procedures
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 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 procedure painful?
Local anesthesia is used to minimize pain during the procedure, and post-operative pain can be managed with medications.
How long does recovery take?
Most patients can expect to return to normal activities within a few weeks, depending on the extent of the surgery.
