Overview of CPT Code 24149: Excision of benign lesion, upper arm

Overview of CPT Code 24149: Excision of benign lesion, upper arm

CPT Code 24149 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 24149 is Used?

This procedure is indicated 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 need for excision.

• Physical examination of the lesion.
• Ultrasound imaging to assess the depth and characteristics of the lesion.
• Biopsy to rule out malignancy if indicated.

Procedure Description

The excision procedure involves several key steps.

• Patient is positioned comfortably and the area is cleaned.
• Local anesthesia is administered to numb the area.
• A surgical incision is made around the lesion.
• The lesion is carefully excised along with a margin of healthy tissue.
• 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 and certain medications as advised by the physician.
• Arrive at the facility with clean skin, free of lotions or oils.
• Discuss any allergies or medical conditions with 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.
• Follow up for suture removal as directed, usually within 7-14 days.
• Use over-the-counter pain relief as needed.

Possible Complications

While complications are rare, they can occur.

• Infection at the surgical site.
• Excessive bleeding during or after the procedure.
• Scarring or changes in skin pigmentation.
• Recurrence of the lesion.

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Post-Procedure Follow-Up

Follow-up is essential to monitor healing.

• Initial follow-up within one week to check the surgical site.
• Further follow-up as needed based on healing and pathology results.
• Regular skin checks for new lesions or changes.

Alternative Treatments

There are non-surgical options available for managing benign lesions.

• Observation for asymptomatic lesions.
• Cryotherapy to freeze off the lesion.
• Topical treatments for certain types of benign skin growths.

Home Care Tips

Patients can take steps at home to aid recovery.

• Keep the area clean and dry.
• Avoid strenuous activities that may stress the surgical site.
• Monitor for signs of infection, such as increased redness or discharge.

Patient Education & Prevention

Educating patients can help prevent future lesions.

• Regular skin checks for early detection of new lesions.
• Use sunscreen to protect skin from UV damage.
• Avoid skin trauma and irritants that may lead to lesions.

Billing and Coding Information

CPT Code: 24149

Category: Surgical Procedures

Common Modifiers:

• 50 - Bilateral procedure
• 59 - Distinct procedural service

Average Cost and Insurance Coverage

Costs can vary based on location and insurance.

• Average cost ranges from $500 to $2,000 depending on complexity.
• Most insurance plans cover the procedure if deemed medically necessary.

Related CPT Codes

• 24075 - Excision of soft tissue mass, upper arm
• 24100 - Excision of benign lesion, upper arm
• 24105 - Excision of benign lesion, upper arm
• 24150 - Excision of benign tumor, upper arm
• 24155 - Excision of benign lesion, upper arm