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Official Description

Removal of foreign body, upper arm or elbow area; deep (subfascial or intramuscular)

© Copyright 2025 American Medical Association. All rights reserved.

Common Language Description

The CPT® Code 24201 refers to the procedure for the removal of a foreign body located in the upper arm or elbow area, specifically when the foreign body is situated in deep tissue, which can be either subfascial or intramuscular. In medical terminology, subcutaneous tissue is the layer of fat and connective tissue that exists between the skin's dermis and the underlying muscle fascia. In contrast, deep tissue refers to the areas beneath the muscle fascia (subfascial) or within the muscle itself (intramuscular). The procedure involves locating the foreign body, which may be done through physical examination (palpation) or by using radiographic imaging techniques that are separately reportable. Once the foreign body is located, a surgical incision is made in the skin, which can be either straight or elliptical in shape. The procedure requires careful dissection of the tissue to access the foreign body, which may involve the use of surgical instruments such as a hemostat or grasping forceps to facilitate removal. After the foreign body is extracted, the wound is typically irrigated with normal saline or an antibiotic solution to reduce the risk of infection, and the incision is subsequently closed. This code specifically addresses the complexities involved in accessing deeper tissues compared to more superficial foreign body removals, as indicated by the distinction between CPT® Code 24200 and CPT® Code 24201.

© Copyright 2025 Coding Ahead. All rights reserved.

1. Indications

The procedure associated with CPT® Code 24201 is indicated for the removal of foreign bodies located in the upper arm or elbow area when these foreign bodies are situated in deep tissue. The following conditions may warrant this procedure:

  • Deep Foreign Body Presence The presence of a foreign object that has penetrated beyond the subcutaneous layer into deeper tissues, such as subfascial or intramuscular locations.
  • Infection Risk Situations where the foreign body poses a risk of infection or has already caused an infection in the surrounding tissues.
  • Inflammation or Pain Symptoms such as localized inflammation, pain, or discomfort that may be associated with the presence of the foreign body.
  • Functional Impairment Cases where the foreign body interferes with the normal function of the arm or elbow, necessitating its removal for improved mobility or function.

2. Procedure

The procedure for CPT® Code 24201 involves several critical steps to ensure the safe and effective removal of the foreign body from deep tissue. The following procedural steps are outlined:

  • Step 1: Identification of the Foreign Body The physician begins by locating the foreign body through palpation or by utilizing radiographic imaging techniques. This step is crucial for determining the exact position and depth of the foreign body within the upper arm or elbow area.
  • Step 2: Incision Once the foreign body is located, a surgical incision is made in the skin. The incision can be either straight or elliptical, depending on the specific circumstances and the physician's preference.
  • Step 3: Dissection The next step involves careful dissection of the tissue to access the deeper layers where the foreign body is situated. This dissection may extend into subfascial or intramuscular tissue, allowing the physician to visualize and reach the foreign body effectively.
  • Step 4: Removal of the Foreign Body After the foreign body is identified, the physician uses surgical instruments, such as a hemostat or grasping forceps, to remove the foreign object from the deep tissue. This step requires precision to avoid damaging surrounding structures.
  • Step 5: Wound Irrigation Following the removal of the foreign body, the wound is irrigated with normal saline or an antibiotic solution. This irrigation helps to cleanse the area and reduce the risk of postoperative infection.
  • Step 6: Closure of the Incision Finally, the incision is closed using appropriate suturing techniques, ensuring that the wound is properly sealed to promote healing.

3. Post-Procedure

After the completion of the procedure associated with CPT® Code 24201, several post-procedure care considerations are important for optimal recovery. Patients are typically monitored for any signs of complications, such as infection or excessive bleeding. Pain management may be provided as needed, and patients are advised on wound care to maintain cleanliness and prevent infection. Follow-up appointments may be scheduled to assess the healing process and to remove sutures if necessary. Patients should also be instructed to report any unusual symptoms, such as increased pain, swelling, or discharge from the incision site, to their healthcare provider promptly.

Short Descr RMVL FB UPPER ARM/ELBW DEEP
Medium Descr REMOVAL FOREIGN BODY UPPER ARM/ELBOW DEEP
Long Descr Removal of foreign body, upper arm or elbow area; deep (subfascial or intramuscular)
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) 1 - Statutory 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 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 3
CCS Clinical Classification 160 - Other therapeutic procedures on muscles and tendons
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).
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.
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.
78 Unplanned return to the operating/procedure room by the same physician or other qualified health care professional following initial procedure for a related procedure during the postoperative period: it may be necessary to indicate that another procedure was performed during the postoperative period of the initial procedure (unplanned procedure following initial procedure). when this procedure is related to the first, and requires the use of an operating/procedure room, it may be reported by adding modifier 78 to the related procedure. (for repeat procedures, see modifier 76.)
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
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
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
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2023-01-01 Note Short description changed.
Pre-1990 Added Code added.
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