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Re-amputation of the arm through the humerus, as described by CPT® Code 24930, refers to a surgical procedure where the arm is amputated at a higher level than a previous amputation. This procedure is typically performed to eliminate diseased, infected, or nonviable tissue that poses a risk to the patient's health. Additionally, re-amputation may be necessary to create a healthy stump that can accommodate a prosthesis. The procedure involves careful planning and execution, beginning with the marking of incision lines on the skin to ensure precision. The surgical team incises the skin and underlying soft tissue, exposing the muscles, which are then isolated and divided by muscle group. Critical structures such as nerves and blood vessels are identified and handled with care to prevent complications. The humerus, the bone of the upper arm, is exposed, and periosteal flaps are created to facilitate a clean transection of the bone. The remaining bone is then covered with muscle and skin flaps to promote healing and functionality. This detailed approach is essential for ensuring the best possible outcome for the patient, particularly in terms of recovery and the potential use of a prosthetic limb.
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The procedure of re-amputation of the arm through the humerus is indicated in specific clinical scenarios where the integrity of the arm is compromised. The following conditions may warrant this surgical intervention:
The re-amputation procedure involves several critical steps to ensure a successful outcome. Each step is performed with precision and care to minimize complications and promote healing.
After the re-amputation procedure, the patient will require careful monitoring and post-operative care to ensure proper healing. This may include pain management, wound care, and physical therapy to promote recovery and mobility. The surgical site will need to be kept clean and dry, and any signs of infection or complications should be reported to the healthcare provider immediately. The patient may also begin the process of fitting for a prosthesis, depending on their recovery progress and overall health status.
| Short Descr | AMPUTATION FOLLOW-UP SURGERY | Medium Descr | AMPUTATION ARM THRU HUMERUS RE-AMPUTATION | Long Descr | Amputation, arm through humerus; re-amputation | 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 | Inpatient Procedures, not paid under OPPS | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P3D - Major procedure, orthopedic - other | MUE | 1 | CCS Clinical Classification | 164 - Other OR therapeutic procedures on musculoskeletal system |
| 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). | 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. | 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) |
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