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2025 CPT code 24066

Biopsy of deep soft tissue in the upper arm or elbow area.

Follow the CPT guidelines for soft tissue biopsy and appropriate coding conventions for biopsy specimens.Consider any applicable modifiers based on the circumstances of the procedure.

Modifiers may be applicable depending on the circumstances.Examples include modifiers 51 (multiple procedures), 76 (repeat procedure), or 59 (distinct procedural service).

Medical necessity for this procedure is established when there is a clinically suspicious lesion requiring histopathological evaluation to determine the nature (benign or malignant) of the lesion and guide further treatment.The decision to perform a biopsy is based on the clinical presentation, imaging findings (if any), and the physician's judgment.

The physician or qualified healthcare professional is responsible for prepping the patient, making the incision, excising the tissue sample, irrigating the wound, and closing the wound with sutures.They will also interpret the pathology report and advise on further treatment.

IMPORTANT For needle biopsy of soft tissue, use 20206.

In simple words: The doctor takes a small sample of tissue from a lump in your upper arm or elbow to test if it's cancerous.

This procedure involves a biopsy of a lump located deep within the upper arm or elbow area (subfascial or intramuscular).The provider makes an incision, penetrates subcutaneous fat and fascia, and excises a tissue sample using microdissection techniques. The wound is irrigated and closed with sutures. This biopsy helps determine if the tissue is benign, malignant, or precancerous.

Example 1: A 45-year-old patient presents with a palpable mass in their biceps muscle.A biopsy is performed to determine the nature of the mass., A 60-year-old patient has a suspicious lesion near their elbow joint.An excisional biopsy is performed for definitive diagnosis., A 28-year-old patient experiences pain and swelling in their forearm.An incisional biopsy of a deep soft tissue mass is performed to evaluate for a possible sarcoma.

* Operative report detailing the procedure, including the location, size, and depth of the lesion.* Pathology report confirming the diagnosis.* Preoperative and postoperative notes documenting the patient's condition and any complications.* Consent forms.* Imaging studies (if any) used for guidance during the procedure.

** This code is for deep soft tissue biopsies.Superficial lesions should be coded appropriately.

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