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The CPT® Code 24116 refers to the excision or curettage of a bone cyst or benign tumor located in the humerus, specifically with the use of an allograft. A bone cyst is defined as a fluid-filled space within the bone, which can vary in type and presentation. One of the most common forms is the unicameral or simple bone cyst, recognized as a benign lesion that typically does not pose significant health risks. Another type, the aneurysmal bone cyst, is characterized by vascular tissue surrounding a blood-filled cystic lesion, which can be more complex in nature. Additionally, there are various benign bone tumors, such as giant cell tumors, chondromyxoid fibromas, and enchondromas, which may also necessitate surgical intervention. The procedure begins with an incision made over the lesion site in the humeral shaft or distal humerus, allowing for the dissection of soft tissues to expose the lesion. If a cystic lesion is identified, the bone is incised to create a window, enabling access to the cyst. The fluid within the cyst is aspirated for laboratory analysis. Following this, a curette is utilized to remove the lining of the cystic cavity completely. In cases where benign tumors are present, the physician will excise the tumor along with a margin of healthy bone to ensure complete removal. After the lesion is addressed, the defect created in the bone may be filled with either an autograft, which is bone harvested from the patient, or in the case of CPT® Code 24116, with an allograft, which is donor bone sourced from a tissue bank. This procedure is essential for addressing bone lesions while promoting healing and structural integrity in the affected area of the humerus.
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The procedure described by CPT® Code 24116 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 24116 involves several critical steps to ensure the effective removal of the bone cyst or benign tumor while preparing the site for grafting. The following procedural steps are outlined:
Post-procedure care following the excision or curettage of a bone cyst or benign tumor with allograft involves monitoring the surgical site for signs of infection and ensuring proper healing. Patients may be advised to limit weight-bearing activities on the affected arm to facilitate recovery. Follow-up appointments are typically scheduled to assess the healing process and the integration of the allograft into the surrounding bone. Rehabilitation may be recommended to restore function and strength to the arm, depending on the extent of the procedure and the patient's overall health status.
| Short Descr | EXC/CRTG B1 CST/TUM HUM ALGR | Medium Descr | EXC/CURTG BONE CYST/BENIGN TUM HUMERUS W/ALGRFT | Long Descr | Excision or curettage of bone cyst or benign tumor, humerus; with allograft | 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) | 0 - Co-surgeons not permitted for this procedure. | 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 | Device-intensive procedure added to ASC list in CY 2008 or later; paid at adjusted rate. | 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). | 79 | Unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period: the individual may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure. this circumstance may be reported by using modifier 79. (for repeat procedures on the same day, see modifier 76.) | 82 | Assistant surgeon (when qualified resident surgeon not available): the unavailability of a qualified resident surgeon is a prerequisite for use of modifier 82 appended to the usual procedure code number(s). | AS | Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery | GC | This service has been performed in part by a resident under the direction of a teaching physician | 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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