How To Use CPT Code 24076

CPT code 24076 describes the excision of a tumor in the soft tissue of the upper arm or elbow area that is subfascial (intramuscular) and measures less than 5 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 24076?

CPT 24076 can be used to describe the surgical removal of a tumor in the subfascial (intramuscular) region of the upper arm or elbow area that measures less than 5 cm. This code is specifically for excisions in the soft tissue and is used when the tumor is smaller in size.

2. Official Description

The official description of CPT code 24076 is: ‘Excision, tumor, soft tissue of upper arm or elbow area, subfascial (eg, intramuscular) less than 5 cm.’

3. Procedure

  1. The patient is appropriately prepped and anesthetized.
  2. The provider makes an incision over the tumor in the patient’s skin.
  3. The provider continues the incision through the fascia and muscle as needed.
  4. Using microdissection techniques, the provider identifies the extent of the tumor.
  5. The provider excises the tumor, ensuring complete removal by also excising a portion of the surrounding soft tissue if necessary.
  6. The provider irrigates the wound area.
  7. The provider closes the wound with sutures.

4. Qualifying circumstances

CPT 24076 is used for patients who have a tumor in the subfascial (intramuscular) region of the upper arm or elbow area that measures less than 5 cm. The excision must be performed by a qualified healthcare professional and the tumor must be located in the soft tissue.

5. When to use CPT code 24076

CPT code 24076 should be used when a qualified healthcare professional performs the excision of a tumor in the soft tissue of the upper arm or elbow area that is subfascial (intramuscular) and measures less than 5 cm. If the tumor is larger in size, a different CPT code should be used.

6. Documentation requirements

To support a claim for CPT 24076, the healthcare professional 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 healthcare professional performing the procedure

7. Billing guidelines

When billing for CPT 24076, ensure that the excision is performed by a qualified healthcare professional and that the tumor is subfascial (intramuscular) and measures less than 5 cm. There are no specific guidelines regarding reporting CPT 24076 with other codes.

8. Historical information

CPT 24076 was added to the Current Procedural Terminology system on January 1, 1990. There have been changes to the code over the years, including updates to the description and code number.

9. Examples

  1. A surgeon performing the excision of a 4 cm tumor in the subfascial region of the upper arm.
  2. An orthopedic specialist removing a 3 cm intramuscular tumor in the elbow area.
  3. A plastic surgeon excising a 2 cm subfascial tumor in the upper arm.
  4. An oncologist performing the excision of a 1 cm tumor in the soft tissue of the elbow area.
  5. A general surgeon removing a 4.5 cm intramuscular tumor in the upper arm.
  6. An orthopedic specialist excising a 3.5 cm subfascial tumor in the elbow area.
  7. A plastic surgeon performing the excision of a 2.5 cm tumor in the soft tissue of the upper arm.
  8. An oncologist removing a 1.5 cm intramuscular tumor in the elbow area.
  9. A general surgeon excising a 4.8 cm subfascial tumor in the upper arm.
  10. An orthopedic specialist performing the excision of a 3.2 cm tumor in the soft tissue of the elbow area.

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