CPT® Code 24126

1. Indications

The procedure associated with CPT® Code 24126 is indicated for the treatment of specific conditions affecting the head or neck of the radius or olecranon process. These indications include:

• Bone Cysts - Fluid-filled spaces within the bone that may require intervention due to size, symptoms, or risk of complications.
• Benign Tumors - Non-cancerous growths such as giant cell tumors, chondromyxoid fibromas, and enchondromas that necessitate excision or curettage to alleviate symptoms or prevent further issues.

2. Procedure

The procedure for CPT® Code 24126 involves several critical steps, which are detailed as follows:

• Step 1: Incision and Exposure - The procedure begins with the surgeon making an incision in the skin over the lesion located in the head or neck of the radius or olecranon process. This incision allows access to the underlying tissues.
• Step 2: Dissection of Soft Tissues - Following the incision, the surgeon carefully dissects the soft tissues to expose the lesion fully. This step is crucial for ensuring that the lesion is adequately visualized and accessible for treatment.
• Step 3: Creation of Bone Window - If a cystic lesion is present, the surgeon incises the bone to create a window. This window facilitates access to the cystic cavity, allowing for the aspiration of any fluid contained within.
• Step 4: Aspiration and Analysis - The fluid from the cyst is aspirated and sent to the laboratory for analysis, which may be necessary for further diagnostic purposes.
• Step 5: Curettage or Excision - A curette is inserted through the bone window to remove the lining of the cystic cavity completely. Alternatively, if a benign tumor is present, the surgeon excises the tumor along with a margin of surrounding healthy bone to ensure complete removal.
• Step 6: Packing the Defect - After the lesion has been addressed, the resulting defect is packed with donor bone (allograft). This step is essential for promoting healing and restoring structural integrity to the affected area.

3. Post-Procedure

Post-procedure care for CPT® Code 24126 typically involves monitoring the surgical site for signs of infection, ensuring proper healing, and managing any pain or discomfort. Patients may be advised to limit movement of the affected limb to facilitate recovery. Follow-up appointments are essential to assess the healing process and to ensure that the allograft integrates properly with the surrounding bone. Additional imaging studies may be required to evaluate the success of the procedure and the condition of the bone post-surgery.