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The procedure described by CPT® Code 24115 involves the excision or curettage of a bone cyst or benign tumor located in the humerus, which is the long bone of the upper arm. A bone cyst is defined as a fluid-filled space within the bone, and it can be classified into various types. One common type is the unicameral or simple bone cyst, which is generally considered benign. Another type, the aneurysmal bone cyst, is characterized by vascular tissue surrounding a blood-filled cystic lesion. In addition to cysts, there are several types of benign bone tumors, including giant cell tumors, chondromyxoid fibromas, and enchondromas. During the procedure, an incision is made over the site of the lesion in the humeral shaft or distal humerus. The soft tissues are carefully dissected to expose the lesion. If a cystic lesion is identified, the bone is incised, and a bone window is created to access the cyst. The fluid within the cyst is aspirated and sent for laboratory analysis. A curette is then inserted through the bone window to completely remove the lining of the cystic cavity. In cases where a benign tumor is present, the lesion is excised along with a margin of surrounding healthy bone. Following the excision or curettage, the physician obtains healthy bone, either from the same site or from a separate location, such as the iliac crest, to use as an autograft. This autograft is then packed into the defect created in the humeral shaft or distal humerus, facilitating healing and structural support.
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The procedure described by CPT® Code 24115 is indicated for the treatment of specific conditions related to bone cysts or benign tumors in the humerus. The following are the explicitly provided indications for this procedure:
The procedure for CPT® Code 24115 involves several critical steps to ensure the effective excision or curettage of the bone cyst or benign tumor. The following procedural steps are outlined:
Post-procedure care following the excision or curettage of a bone cyst or benign tumor in the humerus typically involves monitoring for any signs of complications, such as infection or excessive bleeding. Patients may be advised to limit movement of the affected arm to facilitate healing. Follow-up appointments are essential to assess the healing process and ensure that the graft is integrating properly into the bone. Rehabilitation may be recommended to restore function and strength to the arm as recovery progresses.
| Short Descr | EXC/CRTG B1 CST/TUM HUM AGRF | Medium Descr | EXC/CURTG BONE CYST/BENIGN TUMOR HUMERUS W/AGRFT | Long Descr | Excision or curettage of bone cyst or benign tumor, humerus; with autograft (includes obtaining graft) | Status Code | Active Code | Global Days | 090 - Major Surgery | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 1 - 150% payment adjustment for bilateral procedures applies. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 2 - Payment restriction for assistants at surgery does not apply to this procedure... | Co-Surgeons (62) | 1 - Co-surgeons could be paid, though supporting documentation is required... | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Hospital Part B services paid through a comprehensive APC | ASC Payment Indicator | Surgical procedure on ASC list in CY 2007; payment based on OPPS relative payment weight. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P5B - Ambulatory procedures - musculoskeletal | MUE | 1 | CCS Clinical Classification | 142 - Partial excision bone |
| 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | AS | Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery | LT | Left side (used to identify procedures performed on the left side of the body) | RT | Right side (used to identify procedures performed on the right side of the body) |
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| 2023-01-01 | Note | Short description changed. |
| Pre-1990 | Added | Code added. |
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