Overview of CPT Code 24155: Excision of benign lesion, upper arm

Overview of CPT Code 24155: Excision of benign lesion, upper arm

CPT Code 24155 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 24155 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, shape, or color.

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 appearance of the lesion.

Causes and Risk Factors

Several factors can contribute to the development of benign lesions.

• Genetic predisposition to skin growths.
• Previous skin injuries or trauma.
• Chronic skin conditions such as eczema.
• Sun exposure leading to skin changes.

Diagnostic Tests Before Procedure

Certain tests may be conducted to confirm the diagnosis before excision.

• Physical examination of the lesion.
• Ultrasound imaging to assess the lesion's characteristics.
• 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 site.
• An incision is made around the lesion to remove it completely.
• The wound is closed with sutures or adhesive strips.
• Dressing is applied to protect the area.

Preparation for the Procedure

Patients should follow specific guidelines to prepare for the excision.

• Avoid blood thinners such as aspirin or ibuprofen a week prior.
• Inform the doctor of any allergies or medical conditions.
• Arrange for transportation home post-procedure if sedation is used.
• Wear loose-fitting clothing to the appointment.

Recovery and Aftercare

Post-procedure care is essential for optimal healing.

• Rest for the first 24 hours after the procedure.
• Keep the incision site clean and dry.
• Change the dressing as instructed by the healthcare provider.
• Monitor for signs of infection such as increased redness or discharge.

Possible Complications

While generally safe, there are potential risks associated with the procedure.

• Infection at the incision 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 appointments are important for monitoring recovery.

• Schedule a follow-up visit within 1-2 weeks to check the incision.
• Discuss pathology results if a biopsy was performed.
• Report any unusual symptoms or concerns immediately.

Alternative Treatments

There are non-surgical options for managing benign lesions.

• Observation for asymptomatic lesions.
• Cryotherapy to freeze and reduce the lesion.
• Topical treatments for certain skin conditions.

Home Care Tips

Patients can take steps at home to aid recovery.

• Avoid strenuous activities that may stress the incision.
• Apply ice packs to reduce swelling if needed.
• Follow a healthy diet to support healing.
• Stay hydrated and get adequate rest.

Patient Education & Prevention

Educating patients can help prevent recurrence.

• Regular skin checks for new or changing lesions.
• Use sunscreen to protect skin from UV damage.
• Avoid skin trauma and irritation.
• Consult a dermatologist for persistent skin issues.

Billing and Coding Information

CPT Code: 24155

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 $300 to $1,500.
• Insurance may cover the procedure if deemed medically necessary.
• Out-of-pocket costs depend on the patient's insurance plan.

Related CPT Codes

• 11400 - Excision, benign skin lesion, face, ears, scalp, neck; excised diameter over 4.0 cm.
• 11401 - Excision, benign skin lesion, face, ears, scalp, neck; excised diameter over 4.0 cm.
• 11402 - Excision, benign skin lesion, face, ears, scalp, neck; excised diameter over 4.0 cm.
• 11403 - Excision, benign skin lesion, face, ears, scalp; excised diameter over 4.0 cm.