Overview of CPT Code 24920: Excision of Tumor, Forearm

Overview of CPT Code 24920: Excision of Tumor, Forearm

CPT Code 24920 refers to the surgical excision of a tumor located in the forearm. This procedure is performed to remove abnormal growths that may be benign or malignant, ensuring the health and functionality of the forearm.

When CPT Code 24920 is Used?

This procedure is indicated in various clinical scenarios.

• Presence of a palpable tumor in the forearm.
• 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 forearm.
• Pain or discomfort in the area of the tumor.
• Changes in skin color or texture over the tumor.
• Limited range of motion or weakness in the forearm.

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 skin cancer or other malignancies.
• Exposure to radiation or carcinogenic substances.
• Chronic inflammation or irritation in the forearm area.

Diagnostic Tests Before Procedure

Several diagnostic tests may be performed to assess the tumor before excision.

• 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 or 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 forearm 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.
• Surrounding tissue may be excised to ensure complete removal.
• 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.

• Consult with the surgeon about medications to avoid prior to surgery.
• Arrange for transportation to and from the procedure.
• Follow any fasting instructions if sedation is planned.
• Wear loose-fitting clothing to allow easy access to the forearm.

Recovery and Aftercare

Post-operative care is crucial for healing.

• Rest the arm and avoid strenuous activities for at least a week.
• Keep the surgical site clean and dry, changing dressings as instructed.
• 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 one week to assess the surgical site.
• Additional visits may be scheduled based on pathology results.
• Long-term monitoring for recurrence, especially if the tumor was malignant.

Alternative Treatments

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

• Observation for benign tumors that are not causing symptoms.
• Cryotherapy to freeze and destroy abnormal tissue.
• Radiation therapy for certain types of malignant tumors.
• Medications to shrink tumors in specific cases.

Home Care Tips

Patients can take steps at home to aid recovery.

• Keep the surgical area clean and dry.
• Avoid soaking the area in water until cleared by the doctor.
• 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 the risk of skin cancers.
• Awareness of family history related to tumors.
• Prompt evaluation of any new lumps or changes in the forearm.

Billing and Coding Information

CPT Code: 24920

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 complexity.
• Insurance may cover the procedure if deemed medically necessary.
• Out-of-pocket costs depend on the patient's insurance plan.

Related CPT Codes

• 24900 - Excision of Tumor, Forearm