Overview of CPT Code 24153: Excision of benign tumor, upper arm

Overview of CPT Code 24153: Excision of benign tumor, upper arm

CPT Code 24153 refers to the surgical excision of a benign tumor located in the upper arm. This procedure is typically performed to remove non-cancerous growths that may cause discomfort, functional impairment, or cosmetic concerns.

When CPT Code 24153 is Used?

This procedure is indicated in several clinical scenarios.

• Presence of a benign tumor in the upper arm causing pain or discomfort.
• Tumors that are growing in size or changing in appearance.
• Cosmetic concerns regarding the appearance of the tumor.
• Tumors that may be impinging on nerves or blood vessels.

Symptoms Indicating This Procedure

Patients may report various 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.
• Restricted movement or function of the arm.
• Changes in the skin over the tumor, such as redness or swelling.

Causes and Risk Factors

Understanding the causes and risk factors can help in prevention and early detection.

• Genetic predisposition to benign tumors.
• Previous history of benign tumors.
• Certain skin conditions that may lead to tumor formation.
• Age, as some benign tumors are more common in specific age groups.

Diagnostic Tests Before Procedure

Several diagnostic tests may be performed to confirm the need for excision.

• Ultrasound imaging to assess the size and characteristics of the tumor.
• MRI to evaluate the tumor's relationship with surrounding tissues.
• Biopsy to determine the nature of the tumor if there is any doubt.

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.
• 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 dressing is applied.

Preparation for the Procedure

Proper preparation is essential for a successful procedure.

• Avoid eating or drinking for several hours before the procedure if sedation is planned.
• Discuss any medications with the healthcare provider, especially blood thinners.
• Arrange for transportation home after the procedure if sedation is used.
• Wear loose-fitting clothing to allow easy access to the upper arm.

Recovery and Aftercare

Post-procedure care is crucial for optimal recovery.

• Rest the arm and avoid strenuous activities for a few days.
• Keep the incision site clean and dry, following the surgeon's 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 to ensure proper healing.

• Schedule a follow-up visit within one to two weeks post-surgery.
• Monitor for signs of infection or complications.
• Discuss pathology results if a biopsy was performed.

Alternative Treatments

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

• Observation for small, asymptomatic tumors.
• Corticosteroid injections to reduce inflammation.
• Cryotherapy to freeze and destroy the tumor tissue.

Home Care Tips

Patients can take several steps to aid recovery at home.

• Keep the surgical area clean and dry.
• Apply ice packs to reduce swelling and discomfort.
• Avoid tight clothing that may irritate the incision site.
• Follow a balanced diet to support healing.

Patient Education & Prevention

Educating patients can help in prevention and early detection.

• Regular skin checks for new or changing growths.
• Awareness of family history of benign tumors.
• Promptly report any new lumps or changes to a healthcare provider.

Billing and Coding Information

CPT Code: 24153

Category: Surgery

Common Modifiers:

• -50
• -RT
• -LT

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

• 24155 - Excision of benign lesion, upper arm