How To Use CPT Code 24930

CPT 24930 describes the re-amputation of the arm through the humerus, either due to non-healing or to ensure proper fit for a prosthesis. 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 24930?

CPT 24930 is used to describe the re-amputation of the arm through the humerus. This procedure is performed when an additional length needs to be removed from an already amputated humerus, either because the initial amputation did not heal properly or because the current form of the amputation is not suitable for fitting a prosthesis.

2. Official Description

The official description of CPT code 24930 is: ‘Amputation, arm through humerus re-amputation.’

3. Procedure

During the re-amputation procedure, the healthcare provider begins by making an incision over the predetermined location on the amputated limb. The incision is extended down to the level of the bone, and any blood vessels are ligated and nerves are retracted. The additional section of the humerus is then cut, and the edges are smoothed using an electric burr. The provider cuts the muscles and skin, ensuring sufficient margin to cover the wound. The wound is then covered with muscle, and the provider sutures the muscle and fascia. Finally, the skin is closed with sutures after placing a drain, if necessary.

4. Qualifying circumstances

CPT 24930 is performed when there is a need to remove an additional length from an already amputated humerus. This may be due to non-healing of the initial amputation or because the current form of the amputation does not allow for proper fitting of a prosthesis.

5. When to use CPT code 24930

CPT code 24930 should be used when a re-amputation of the arm through the humerus is performed. It is important to ensure that the procedure meets the qualifying circumstances mentioned above. If the re-amputation is not through the humerus or does not involve the arm, a different CPT code should be used.

6. Documentation requirements

To support a claim for CPT 24930, the healthcare provider must document the following information:

• Patient’s medical history and the need for re-amputation
• Details of the procedure, including the incision location, bone cutting, muscle and skin removal, and wound closure
• Any complications or additional procedures performed during the re-amputation
• Signature of the healthcare provider performing the procedure

7. Billing guidelines

When billing for CPT 24930, ensure that the procedure performed meets the requirements for re-amputation of the arm through the humerus. It is important to follow the specific guidelines provided by the payer and to use the appropriate modifiers, if required. It is also important to review any specific billing guidelines provided by the payer to ensure accurate and timely reimbursement.

8. Historical information

CPT 24930 was added to the Current Procedural Terminology system on January 1, 1990. It was initially classified as an inpatient-only (IPO) procedure, but it was removed from the IPO list in 2021. However, as of 2022, it has been added back to the IPO list.

9. Similar codes to CPT 24930

There are several similar codes to CPT 24930 that describe different types of amputation procedures on the humerus and elbow. These include:

• CPT 24900: Amputation, arm through humerus; intercalary (forequarter)
• CPT 24920: Amputation, arm through humerus; disarticulation
• CPT 24925: Amputation, arm through humerus; disarticulation with shoulder girdle resection
• CPT 24940: Amputation, arm through humerus; interscapulothoracic (forequarter)

9. Examples

1. A patient undergoes re-amputation of the arm through the humerus due to non-healing of the initial amputation.
2. An individual requires re-amputation of the arm through the humerus to ensure proper fit for a prosthesis.
3. A healthcare provider performs re-amputation of the arm through the humerus to address complications from the initial amputation.
4. A patient undergoes re-amputation of the arm through the humerus to improve functionality and mobility.
5. An individual requires re-amputation of the arm through the humerus to address infection or other medical concerns.
6. A healthcare provider performs re-amputation of the arm through the humerus to address trauma or injury to the amputated limb.
7. A patient undergoes re-amputation of the arm through the humerus to improve the overall quality of life and independence.
8. An individual requires re-amputation of the arm through the humerus to address chronic pain or discomfort.
9. A healthcare provider performs re-amputation of the arm through the humerus to address functional limitations or complications from the initial amputation.
10. A patient undergoes re-amputation of the arm through the humerus to achieve better prosthetic fitting and usage.