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Official Description

Removal of foreign body, upper arm or elbow area; subcutaneous

© Copyright 2025 American Medical Association. All rights reserved.

Common Language Description

The procedure described by CPT® Code 24200 involves the removal of a foreign body located in the upper arm or elbow area, specifically within the subcutaneous tissue. Subcutaneous tissue is the layer of fat and connective tissue situated between the skin's dermis and the underlying muscle fascia. This procedure is indicated when a foreign object, which may have entered the body through trauma or other means, is present in this area. The removal process typically begins with the identification of the foreign body, which can be accomplished through palpation or, if necessary, through the use of radiographs that are separately reportable. Once located, a straight or elliptical incision is made in the skin to access the subcutaneous tissue. The surgeon then dissects through this layer to identify the foreign body, utilizing instruments such as a hemostat or grasping forceps to extract it. In some cases, additional dissection may be required to adequately free the foreign body from surrounding tissues. After successful removal, the wound is irrigated with normal saline or an antibiotic solution to reduce the risk of infection, and the incision is subsequently closed. This procedure is crucial for preventing complications that may arise from retained foreign bodies, such as infection or inflammation.

© Copyright 2025 Coding Ahead. All rights reserved.

1. Indications

The procedure associated with CPT® Code 24200 is indicated for the removal of foreign bodies located in the upper arm or elbow area, specifically when these foreign bodies are situated within the subcutaneous tissue. The presence of a foreign body may result from various circumstances, including but not limited to:

  • Trauma: Accidental injuries that introduce foreign objects into the body.
  • Infection: The presence of a foreign body may lead to or exacerbate an infection, necessitating removal.
  • Inflammation: Foreign bodies can cause localized inflammation, prompting the need for surgical intervention.

2. Procedure

The procedure for the removal of a foreign body in the upper arm or elbow area, as described by CPT® Code 24200, involves several key steps:

  • Step 1: Identification of the foreign body is the first critical step. This can be achieved through palpation, where the physician feels for the foreign object beneath the skin, or through the use of radiographs, which may be reported separately, to visualize the foreign body’s location.
  • Step 2: Once the foreign body is located, the physician makes a straight or elliptical incision in the skin over the area where the foreign body is suspected to be. This incision allows access to the subcutaneous tissue.
  • Step 3: The surgeon then dissects through the subcutaneous tissue to reach the foreign body. This dissection is performed carefully to minimize damage to surrounding tissues.
  • Step 4: After identifying the foreign body, the physician uses a hemostat or grasping forceps to grasp and remove the object. In some cases, additional dissection may be necessary to free the foreign body from any surrounding tissue that may be adhering to it.
  • Step 5: Following the successful removal of the foreign body, the wound is irrigated with normal saline or an antibiotic solution. This step is crucial for reducing the risk of infection.
  • Step 6: Finally, the incision is closed, completing the procedure. Proper closure is essential for optimal healing and to prevent complications.

3. Post-Procedure

After the procedure, patients may require specific post-operative care to ensure proper healing and to monitor for any potential complications. This may include instructions on wound care, signs of infection to watch for, and follow-up appointments to assess healing. Patients should be advised to keep the area clean and dry, and to report any unusual symptoms such as increased redness, swelling, or discharge from the incision site. Additionally, pain management may be discussed, and the physician may provide guidance on activity restrictions to promote recovery.

Short Descr RMVL FB UPPER ARM/ELBW SUBQ
Medium Descr RMVL FOREIGN BODY UPPER ARM/ELBOW SUBCUTANEOUS
Long Descr Removal of foreign body, upper arm or elbow area; subcutaneous
Status Code Active Code
Global Days 010 - Minor Procedure
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) 0 - Payment restriction for assistants at surgery applies 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 Office-based surgical procedure added to ASC list in CY 2008 or later with MPFS nonfacility PE RVUs; payment based on MPFS nonfacility PE RVUs.
Type of Service (TOS) 2 - Surgery
Berenson-Eggers TOS (BETOS) P6B - Minor procedures - musculoskeletal
MUE 3
CCS Clinical Classification 174 - Other non-OR therapeutic procedures on skin and breast
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).
52 Reduced services: under certain circumstances a service or procedure is partially reduced or eliminated at the discretion of the physician or other qualified health care professional. under these circumstances the service provided can be identified by its usual procedure number and the addition of modifier 52, signifying that the service is reduced. this provides a means of reporting reduced services without disturbing the identification of the basic service. note: for hospital outpatient reporting of a previously scheduled procedure/service that is partially reduced or cancelled as a result of extenuating circumstances or those that threaten the well-being of the patient prior to or after administration of anesthesia, see modifiers 73 and 74 (see modifiers approved for asc hospital outpatient use).
53 Discontinued procedure: under certain circumstances, the physician or other qualified health care professional may elect to terminate a surgical or diagnostic procedure. due to extenuating circumstances or those that threaten the well being of the patient, it may be necessary to indicate that a surgical or diagnostic procedure was started but discontinued. this circumstance may be reported by adding modifier 53 to the code reported by the individual for the discontinued procedure. note: this modifier is not used to report the elective cancellation of a procedure prior to the patient's anesthesia induction and/or surgical preparation in the operating suite. for outpatient hospital/ambulatory surgery center (asc) reporting of a previously scheduled procedure/service that is partially reduced or cancelled as a result of extenuating circumstances or those that threaten the well being of the patient prior to or after administration of anesthesia, see modifiers 73 and 74 (see modifiers approved for asc hospital outpatient use).
54 Surgical care only: when 1 physician or other qualified health care professional performs a surgical procedure and another provides preoperative and/or postoperative management, surgical services may be identified by adding modifier 54 to the usual procedure number.
58 Staged or related procedure or service by the same physician or other qualified health care professional during the postoperative period: it may be necessary to indicate that the performance of a procedure or service during the postoperative period was: (a) planned or anticipated (staged); (b) more extensive than the original procedure; or (c) for therapy following a surgical procedure. this circumstance may be reported by adding modifier 58 to the staged or related procedure. note: for treatment of a problem that requires a return to the operating/procedure room (eg, unanticipated clinical condition), see modifier 78.
59 Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25.
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.)
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
GW Service not related to the hospice patient's terminal condition
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)
SG Ambulatory surgical center (asc) facility service
X4 Episodic/focused services: for reporting services by clinicians who provide focused care on particular types of treatment limited to a defined period and circumstance; the patient has a problem, acute or chronic, that will be treated with surgery, radiation, or some other type of generally time-limited intervention; reporting clinician service examples include but are not limited to, the orthopedic surgeon performing a knee replacement and seeing the patient through the postoperative period
XS Separate structure, a service that is distinct because it was performed on a separate organ/structure
XU Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service
Date
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2023-01-01 Note Short description changed.
Pre-1990 Added Code added.
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