How To Use CPT Code 24075

CPT code 24075 describes the excision of a tumor in the soft tissues of the upper arm or elbow area that is subcutaneous and measures less than 3 cm. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 24075?

CPT 24075 can be used to describe the surgical removal of a tumor in the soft tissues of the upper arm or elbow area that is subcutaneous and measures less than 3 cm. This code is used when the provider incises over the tumor, identifies its extent, and excises it along with a portion of the surrounding soft tissue if necessary to ensure complete removal.

2. Official Description

The official description of CPT code 24075 is: ‘Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous less than 3 cm.’

3. Procedure

1. The patient is appropriately prepped and anesthetized.
2. The provider makes an incision over the tumor and down into the subcutaneous tissue.
3. Using microdissection techniques, the provider identifies the extent of the tumor.
4. The provider excises the tumor, ensuring complete removal.
5. If necessary, the provider may also excise a portion of the surrounding soft tissue.
6. The wound is irrigated and closed with sutures.

4. Qualifying circumstances

Patients eligible for CPT 24075 are those with a tumor in the soft tissues of the upper arm or elbow area that is subcutaneous and measures less than 3 cm. The procedure must be performed by a qualified provider and the tumor must be accurately assessed and identified prior to excision.

5. When to use CPT code 24075

CPT code 24075 should be used when a provider performs the excision of a subcutaneous tumor in the soft tissues of the upper arm or elbow area that measures less than 3 cm. If the tumor measures 3 cm or greater, a different CPT code should be used.

6. Documentation requirements

To support a claim for CPT 24075, the provider must document the following information:

• Patient’s diagnosis and the need for tumor excision
• Size and location of the tumor
• Date of the procedure
• Details of the procedure, including the incision, extent of tumor excision, and closure method
• Any additional procedures performed, such as excision of surrounding soft tissue
• Signature of the provider performing the procedure

7. Billing guidelines

When billing for CPT 24075, ensure that the excision is performed by a qualified provider and that the tumor meets the specified criteria. There are no specific billing guidelines or restrictions associated with this code.

8. Historical information

CPT 24075 was added to the Current Procedural Terminology system on January 1, 1990. There have been two code changes since its addition, with the most recent change occurring on January 1, 2010.

9. Examples

1. A provider surgically removes a subcutaneous tumor measuring 2 cm in the soft tissues of the upper arm.
2. A patient undergoes excision of a subcutaneous tumor measuring 1.5 cm in the elbow area.
3. A provider performs the excision of a subcutaneous tumor measuring 2.5 cm in the soft tissues of the upper arm.
4. A patient undergoes the removal of a subcutaneous tumor measuring 2.8 cm in the elbow area.
5. A provider surgically excises a subcutaneous tumor measuring 2.2 cm in the soft tissues of the upper arm.
6. A patient undergoes the excision of a subcutaneous tumor measuring 2.7 cm in the elbow area.
7. A provider performs the removal of a subcutaneous tumor measuring 2.3 cm in the soft tissues of the upper arm.
8. A patient undergoes excision of a subcutaneous tumor measuring 2.9 cm in the elbow area.
9. A provider surgically removes a subcutaneous tumor measuring 2.4 cm in the soft tissues of the upper arm.
10. A patient undergoes the excision of a subcutaneous tumor measuring 2.6 cm in the elbow area.