{"id":183392,"date":"2026-08-18T11:51:24","date_gmt":"2026-08-18T11:51:24","guid":{"rendered":"https:\/\/pabau.com\/?p=183392"},"modified":"2026-08-18T12:12:23","modified_gmt":"2026-08-18T12:12:23","slug":"cpt-code-24076","status":"publish","type":"post","link":"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-24076\/","title":{"rendered":"CPT code 24076: Excision of subfascial soft tissue tumor, upper arm or elbow"},"content":{"rendered":"\n<script type=\"application\/ld+json\">{\"@context\":\"https:\/\/schema.org\",\"@type\":\"MedicalWebPage\",\"headline\":\"CPT code 24076: Excision of subfascial soft tissue tumor, upper arm or elbow\",\"description\":\"CPT code 24076 covers excision of a subfascial soft tissue tumor of the upper arm or elbow measuring less than 5 cm. Descriptor, modifiers, ICD-10 pairings, 2026 RVUs, NCCI edits, and documentation requirements.\",\"url\":\"https:\/\/pabau.com\/procedure-codes\/cpt-code-24076\/\",\"audience\":{\"@type\":\"MedicalAudience\",\"audienceType\":\"Clinician\"},\"reviewedBy\":{\"@type\":\"Person\",\"name\":\"Dr Vanja Kitanova\",\"jobTitle\":\"Medical Reviewer\",\"affiliation\":{\"@type\":\"Organization\",\"name\":\"Pabau\"},\"knowsAbout\":[\"Medical Coding\",\"Clinical Documentation\",\"Healthcare Billing\",\"Clinical Safety\"],\"sameAs\":\"https:\/\/pabau.com\/blog\/author\/vanja\/\"},\"datePublished\":\"2026-07-25\",\"dateModified\":\"2026-08-18\"}<\/script>\n\n\n        <div id=\"key_takeaways\">\n            <div class=\"header\">\n                                    <img decoding=\"async\" src=\"https:\/\/pabau.com\/wp-content\/uploads\/2025\/12\/Key-Takeaways-Icon.svg\" alt=\"Key takeaways\" height=\"42\" width=\"42\">\n                                <h3>Key takeaways<\/h3>\n            <\/div>\n            <div class=\"list\">\n                                                            <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>CPT code 24076 covers excision of a subfascial soft tissue tumor of the upper arm or elbow area, measuring less than 5 cm.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>Depth comes from the operative note and size comes from the pathology report, and both must be in the record before the claim goes out.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>A subfascial tumor of 5 cm or greater moves to CPT code 24073, not 24077, which covers radical resection instead.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>CMS assigns 24076 a total of 15.6 RVUs, and the practice expense RVU is the same in facility and non-facility settings.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>Practice management software like Pabau flags NCCI conflicts at entry and attaches documentation checklists, so fewer claims come back denied.<\/p>\n                        <\/div>\n                                                <\/div>\n        <\/div>\n    \n\n\n<p class=\"wp-block-paragraph\">CPT code 24076 covers the excision of a subfascial soft tissue tumor measuring less than 5 cm, in the upper arm or elbow area. The official descriptor reads: <em>Excision, tumor, soft tissue of upper arm or elbow area; subfascial, e.g., intramuscular; less than 5 cm.<\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Three qualifiers decide whether 24076 is the right choice: depth, size, and anatomic site. Each one has to appear in the record before the claim is submitted.<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe title=\"CPT Coding Pitfalls Every Medical Practice Faces\" width=\"800\" height=\"450\" src=\"https:\/\/www.youtube.com\/embed\/vbvV5okdXKg?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n\n\n<h2 id=\"h-descriptor-terminology-what-each-qualifier-means\" class=\"wp-block-heading\">Descriptor terminology: What each qualifier means<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Understanding the descriptor language protects against both upcoding and undercoding.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Excision:<\/strong> complete surgical removal of the tumor and its margins, not a biopsy or a debulking procedure.<\/li>\n\n\n\n<li><strong>Soft tissue:<\/strong> connective tissue structures such as fascia, muscle, and subcutaneous fat, rather than bone. If bone resection is involved, a different code applies.<\/li>\n\n\n\n<li><strong>Upper arm or elbow area:<\/strong> the anatomic boundary covering the humerus shaft through the elbow joint. Forearm excisions fall under a separate code family.<\/li>\n\n\n\n<li><strong>Subfascial (e.g., intramuscular):<\/strong> the tumor lies deep to the fascia, within or below the muscle layers. This is the depth qualifier that separates 24076 from the superficial code 24075.<\/li>\n\n\n\n<li><strong>Less than 5 cm:<\/strong> the greatest tumor dimension recorded in the operative or pathology report. A subfascial tumor of 5 cm or greater moves to CPT code 24073.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">One point catches coders out. Excision and radical resection are separate procedures with separate codes, so a larger tumor does not push 24076 into the 24077 range.<\/p>\n\n\n\n<h2 id=\"h-cpt-24075-vs-24076-vs-24073-choosing-the-right-code\" class=\"wp-block-heading\">CPT 24075 vs 24076 vs 24073: Choosing the right code<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The most common error in this family is picking a code from incomplete documentation of either depth or size. The table below covers the full excision and radical resection set for the upper arm and elbow. The same depth and size logic drives <a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-21554\/\" rel=\"noopener\">CPT code 21554<\/a> in the neck and thorax.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Code<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Depth or procedure<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Tumor size<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Descriptor summary<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">24071<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Subcutaneous (superficial)<\/td>\n<td style=\"padding:12px 16px;color:#374151\">3 cm or greater<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Excision, tumor, soft tissue of upper arm or elbow area; subcutaneous, 3 cm or greater<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">24073<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Subfascial (intramuscular)<\/td>\n<td style=\"padding:12px 16px;color:#374151\">5 cm or greater<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Excision, tumor, soft tissue of upper arm or elbow area; subfascial, 5 cm or greater<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">24075<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Subcutaneous (superficial)<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Less than 3 cm<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Excision, tumor, soft tissue of upper arm or elbow area; subcutaneous, less than 3 cm<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\"><strong>24076<\/strong><\/td>\n<td style=\"padding:12px 16px;color:#374151\"><strong>Subfascial (intramuscular)<\/strong><\/td>\n<td style=\"padding:12px 16px;color:#374151\"><strong>Less than 5 cm<\/strong><\/td>\n<td style=\"padding:12px 16px;color:#374151\"><strong>Excision, tumor, soft tissue of upper arm or elbow area; subfascial, less than 5 cm<\/strong><\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">24077<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Radical resection<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Less than 5 cm<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Radical resection of tumor, soft tissue of upper arm or elbow area; less than 5 cm<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">24079<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Radical resection<\/td>\n<td style=\"padding:12px 16px;color:#374151\">5 cm or greater<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Radical resection of tumor, soft tissue of upper arm or elbow area; 5 cm or greater<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">Depth is confirmed by the operative note, where the surgeon describes the dissection plane, and by the pathology report. Size is the greatest tumor dimension recorded at the time of excision. Both belong in the medical record before the claim is submitted.<\/p>\n\n\n\n<h2 id=\"h-common-modifiers-for-cpt-code-24076\" class=\"wp-block-heading\">Common modifiers for CPT code 24076<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Modifiers change how a payer reads the code without changing the procedure itself. For CPT code 24076, four modifiers cover the majority of billing scenarios.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Modifier<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Name<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">When to use<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Payer notes<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">-22<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Increased procedural services<\/td>\n<td style=\"padding:12px 16px;color:#374151\">The procedure took substantially more work than typical, for example extensive adhesions or prior surgical scarring<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Needs detailed documentation and draws an OIG audit flag if overused. Many payers want 15 to 25% additional complexity justified.<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">-51<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Multiple procedures<\/td>\n<td style=\"padding:12px 16px;color:#374151\">24076 is performed alongside another procedure on the same date of service<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Applied to the secondary procedure. Some payers apply an automatic payment reduction. Verify NCCI edits first.<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">-59<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Distinct procedural service<\/td>\n<td style=\"padding:12px 16px;color:#374151\">A code that NCCI bundles with 24076 is reported separately because a distinct service was performed<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Required when an NCCI edit applies but the clinical picture justifies both codes. Documentation must confirm a separate site or indication.<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">-LT \/ -RT<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Left side \/ right side<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Bilateral procedures on the same date, or when the payer requires laterality on upper extremity codes<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Medicare and many commercial payers require -LT or -RT on upper extremity codes to distinguish sides.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">Modifier -22 carries the highest audit risk. Appending it without an operative note that explains the added complexity is an Office of Inspector General (OIG) red flag. Use it sparingly and document thoroughly.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Laterality is the quieter risk. The same -LT and -RT requirement applies across upper extremity surgery, including shoulder procedures such as <a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-23462\/\" rel=\"noopener\">CPT code 23462<\/a>.<\/p>\n\n\n\n<h2 id=\"h-icd-10-codes-commonly-paired-with-cpt-code-24076\" class=\"wp-block-heading\">ICD-10 codes commonly paired with CPT code 24076<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Medical necessity for CPT code 24076 rests on a diagnosis code that matches the pathology finding. Benign and malignant neoplasm codes are not interchangeable, so the ICD-10 you submit has to reflect the pathology report conclusion.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">When a pairing is rejected, the remittance advice names the reason. Our guide to <a href=\"https:\/\/pabau.com\/procedure-codes\/denial-codes-in-medical-billing\/\" rel=\"noopener\">denial codes<\/a> explains how to read those remark codes and what to correct before resubmitting.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">ICD-10 code<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Description<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Clinical scenario<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">D21.12<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Benign neoplasm of connective and other soft tissue, upper arm<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Lipoma, fibroma, or another benign mass confirmed on pathology. This is the most common pairing for 24076.<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">M79.821<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Soft tissue disorder of upper arm<\/td>\n<td style=\"padding:12px 16px;color:#374151\">A non-neoplastic mass or lesion needing excision. Use it pre-authorization, while pathology is still pending.<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">C49.12<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Malignant neoplasm of connective and soft tissue, upper arm<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Sarcoma or another confirmed malignant tumor. Use it only once pathology confirms malignancy.<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">D48.1<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Neoplasm of uncertain behavior of connective and other soft tissue<\/td>\n<td style=\"padding:12px 16px;color:#374151\">The pathology result is indeterminate or awaiting further analysis. Treat it as an interim code.<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">M79.829<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Soft tissue disorder of unspecified upper arm<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Use only when laterality is undocumented. Prefer M79.821 for the right arm or M79.822 for the left.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">Selecting C49.12 when pathology shows a benign tumor is a coding error that can trigger a medical necessity denial. In some cases it also invites a fraud audit. Reconcile the ICD-10 against the final pathology report before you submit.<\/p>\n\n\n\n<h2 id=\"h-medicare-reimbursement-for-cpt-code-24076-2026\" class=\"wp-block-heading\">Medicare reimbursement for CPT code 24076 (2026)<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Medicare pays for CPT code 24076 by multiplying its Relative Value Units (RVUs) by the CMS conversion factor, then adjusting for geographic locality. The figures below are national values. Use the <a href=\"https:\/\/www.cms.gov\/medicare\/physician-fee-schedule\/search\" target=\"_blank\" rel=\"nofollow noopener\">CMS Physician Fee Schedule lookup tool<\/a> to find the locality-adjusted rate for your practice.<\/p>\n\n\n\n<h3 id=\"h-rvu-breakdown-for-cpt-24076\" class=\"wp-block-heading\">RVU breakdown for CPT 24076<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">RVU values are revised annually. Confirm the current figures in the <a href=\"https:\/\/www.aapc.com\/codes\/cpt-codes\/24076\" target=\"_blank\" rel=\"nofollow noopener\">AAPC entry for 24076<\/a> or the CMS fee schedule before you quote rates.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">RVU component<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Value<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Notes<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Work RVU (wRVU)<\/td>\n<td style=\"padding:12px 16px;color:#374151\">7.22<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Reflects surgeon time, skill, and intensity<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Practice expense RVU<\/td>\n<td style=\"padding:12px 16px;color:#374151\">6.82<\/td>\n<td style=\"padding:12px 16px;color:#374151\">CMS lists the same value for facility and non-facility settings<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Malpractice RVU<\/td>\n<td style=\"padding:12px 16px;color:#374151\">1.56<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Risk component, which varies by specialty<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Total RVU<\/td>\n<td style=\"padding:12px 16px;color:#374151\">15.6<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Multiply by the CMS conversion factor for an approximate payment<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<h3 id=\"h-facility-vs-non-facility-reimbursement\" class=\"wp-block-heading\">Facility vs non-facility reimbursement<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Many office-based procedures pay more in the non-facility setting, because the practice absorbs the overhead. CPT code 24076 is an exception worth knowing. CMS assigns it the same practice expense RVU in both settings, so the physician&#8217;s total RVU does not move with place of service.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">That does not make the place-of-service code optional. It still determines whether the hospital or ambulatory surgery center can bill its own facility claim alongside the surgeon&#8217;s Part B claim. Submitting the wrong one is a claim integrity issue CMS audits, so confirm it before submission.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/cdn.pabau.com\/cdn\/attachments\/pulse\/content-engine\/billing_codes\/cpt-code-24076\/automate-claims-through-healthcode.webp\" alt=\"Pabau claims and billing automation dashboard\"\/><figcaption class=\"wp-element-caption\"><em>Pabau&#8217;s claims tools check the place-of-service code and the code pairing before a 24076 claim leaves your practice.<\/em><\/figcaption><\/figure>\n\n\n\n<div style=\"height:35px;width:800px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 id=\"h-ncci-bundling-edits-for-cpt-24076\" class=\"wp-block-heading\">NCCI bundling edits for CPT 24076<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The National Correct Coding Initiative (NCCI) sets code-pair edits that CMS updates quarterly. Certain codes are bundled with CPT code 24076, so Medicare will not pay for both on the same claim unless specific conditions are met.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Pairs change with every update cycle, which is why <a href=\"https:\/\/pabau.com\/blog\/medical-billing-compliance\/\" rel=\"noopener\">medical billing compliance<\/a> means rechecking the edit tables each quarter rather than once a year.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Key NCCI considerations for 24076:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Bundled without modifier exception:<\/strong> routine closure codes, anesthesia add-ons, and basic surgical prep codes are bundled into the excision and cannot be billed separately.<\/li>\n\n\n\n<li><strong>Bundled with modifier exception:<\/strong> modifier -59 may be required when 24076 is performed alongside an arthroscopic procedure at the same site and date. The operative note must confirm a separate site or a distinct clinical indication.<\/li>\n\n\n\n<li><strong>Same-day injections:<\/strong> check the edit tables before reporting an injection such as <a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-20550\/\" rel=\"noopener\">CPT code 20550<\/a> on the date of the excision.<\/li>\n\n\n\n<li><strong>Column 2 edits:<\/strong> evaluation and management codes billed on the same day as 24076 fall under global surgery package rules. Post-operative visits inside the 90-day global period are usually not separately billable.<\/li>\n\n\n\n<li><strong>Verify quarterly:<\/strong> NCCI edits update every January, April, July, and October. Verify any code pair in the current CMS NCCI Policy Manual before billing.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Rehabilitation after the excision sits outside that global package. It is billed on its own claim by the <a href=\"https:\/\/pabau.com\/industry\/physical-therapy-emr\/\" rel=\"noopener\">physical therapy<\/a> provider, under therapy codes rather than surgical ones.<\/p>\n\n\n\n<h2 id=\"h-documentation-requirements-for-cpt-code-24076\" class=\"wp-block-heading\">Documentation requirements for CPT code 24076<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Incomplete documentation drives more denials and post-payment audits on soft tissue excision codes than any other factor. Payers and CMS auditors expect the elements below in the record for every claim billed under CPT code 24076.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Using <a href=\"https:\/\/pabau.com\/features\/patient-intake-software\/\" rel=\"noopener\">digital intake and operative forms<\/a> that prompt for each element reduces the chance of missing information at the point of care. Well-structured <a href=\"https:\/\/pabau.com\/blog\/medical-forms-at-your-healthcare-practice\/\" rel=\"noopener\">digital medical forms<\/a> standardize that capture across the practice.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/cdn.pabau.com\/cdn\/attachments\/pulse\/content-engine\/billing_codes\/cpt-code-24076\/customizable-consent-and-intake-forms.webp\" alt=\"Customizable consent and intake forms in Pabau\"\/><figcaption class=\"wp-element-caption\"><em>Pabau&#8217;s customizable forms prompt for tumor depth, size, and laterality, so the operative note is billing-ready when the case closes.<\/em><\/figcaption><\/figure>\n\n\n\n<div style=\"height:35px;width:800px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Operative note, tumor depth:<\/strong> state plainly that the tumor was subfascial or intramuscular. Phrases such as \u00abdeep to fascia\u00bb or \u00abwithin the muscle belly\u00bb are enough. Without depth documentation, an auditor defaults the claim to 24075.<\/li>\n\n\n\n<li><strong>Tumor size measurement:<\/strong> the greatest dimension in centimeters must appear in the operative note or the pathology report. If the two measurements differ, record both and explain the discrepancy.<\/li>\n\n\n\n<li><strong>Pathology report:<\/strong> needed to confirm whether the tissue is benign or malignant and to support the ICD-10 on the claim. A pre-authorization pairing using M79.821 must be updated to the final diagnosis.<\/li>\n\n\n\n<li><strong>Anatomic site:<\/strong> document laterality and the specific location within the upper arm or elbow region. This supports modifier -LT or -RT and satisfies Medicare&#8217;s laterality requirement.<\/li>\n\n\n\n<li><strong>Surgical approach:<\/strong> describe the incision type, the planes dissected, and the closure technique. This is what supports a modifier -22 claim for increased complexity.<\/li>\n\n\n\n<li><strong>Pre-operative diagnosis and indication:<\/strong> the patient&#8217;s symptom history establishes medical necessity. Pain, functional limitation, and the rate of mass growth all belong in the note.<\/li>\n<\/ul>\n\n\n        <div id=\"pro_tip\">\n            <div class=\"img\">\n                <svg width=\"42\" height=\"42\" viewBox=\"0 0 42 42\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M12.6383 19.5238C12.6632 21.2071 12.8734 22.9926 12.0685 24.5523C11.0341 26.8917 8.45076 28.169 7.56292 30.5918C6.63082 33.1061 7.19505 36.185 9.31371 37.9786C10.929 39.5678 13.4183 39.9873 15.6061 39.5463C17.4592 39.073 19.1049 37.8388 19.9706 36.1608C20.781 34.7141 20.7866 32.9904 20.5293 31.3985C20.1006 29.3092 18.3775 27.8705 16.9807 26.362C14.8814 24.1005 14.6684 20.6854 15.595 17.8915C16.4331 15.4768 19.0026 14.2344 20.0425 11.9461C20.7202 10.6769 20.7506 9.20327 20.6068 7.81304C20.1864 5.40098 18.3139 3.23631 15.8716 2.56674C13.9742 2.03969 11.8224 2.30052 10.1739 3.37614C8.70522 4.34688 7.5878 5.86618 7.28356 7.58178C6.76081 9.82981 7.53525 12.2822 9.20307 13.9118C10.7658 15.4741 12.4806 17.2273 12.6383 19.5238Z\"\n                        fill=\"#2BADD4\" \/>\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M22.7048 19.8387C22.6822 22.3279 24.4507 24.6234 26.7493 25.4682C28.0531 25.961 29.4725 25.9183 30.7989 25.5487C32.0575 24.9955 33.301 24.2237 34.0069 23.0092C34.8384 21.5811 35.2982 19.8286 34.7832 18.2094C34.3611 16.2507 32.8739 14.6541 31.0275 13.9426C28.6736 12.9595 25.8073 13.7942 24.1719 15.7001C23.2022 16.8366 22.6143 18.3326 22.7048 19.8387Z\"\n                        fill=\"#2BADD4\" \/>\n                <\/svg>\n            <\/div>\n            <div class=\"text\">\n                <h3>Pro Tip<\/h3>\n                <p>Run a documentation audit quarterly on a random sample of CPT code 24076 claims. Pull 10 records and check that each operative note states tumor depth, tumor size in centimeters, and laterality. A single missing element is enough for a payer to reclassify the code or deny the claim outright.<\/p>\n            <\/div>\n        <\/div>\n    \n\n\n<h2 id=\"h-common-billing-errors-and-how-to-avoid-them\" class=\"wp-block-heading\">Common billing errors and how to avoid them<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">These are the four mistakes auditors flag most often on CPT code 24076 claims, drawn from <a href=\"https:\/\/www.ama-assn.org\/practice-management\/cpt\/cpt-coding-resources\" target=\"_blank\" rel=\"nofollow noopener\">AMA coding resources<\/a> and NCCI compliance patterns.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Billing 24073 without a documented size:<\/strong> 24073 is the subfascial code for tumors of 5 cm or greater. Reporting it when the operative note gives no measurement is a familiar OIG audit trigger. Default to 24076 and correct the claim once pathology confirms the size.<\/li>\n\n\n\n<li><strong>Reaching for 24077 on a large tumor:<\/strong> 24077 is a radical resection code, not the next size up from 24076. Size alone never moves an excision into the radical resection range. The operative note has to describe a radical resection.<\/li>\n\n\n\n<li><strong>Using 24076 for superficial tumors:<\/strong> if the note describes a subcutaneous mass above the fascia, 24075 or 24071 applies instead. Billing 24076 there is upcoding by depth rather than by size.<\/li>\n\n\n\n<li><strong>Missing the laterality modifier:<\/strong> Medicare requires -LT or -RT on upper extremity codes. Claims without laterality often suspend for manual review, which adds weeks to the payment timeline.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Each of these is caught by the same habit: reading the operative note against the descriptor before the claim goes out. That check is also what turns a first submission into a <a href=\"https:\/\/pabau.com\/blog\/clean-claim\/\" rel=\"noopener\">clean claim<\/a>.<\/p>\n\n\n\n<h2 id=\"h-how-practice-management-software-supports-cpt-code-24076-billing\" class=\"wp-block-heading\">How practice management software supports CPT code 24076 billing<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Orthopedic and <a href=\"https:\/\/pabau.com\/industry\/sports-medicine-software\/\" rel=\"noopener\">sports medicine practices<\/a> billing this code hit the same three friction points. Bundling conflicts surface late, and operative notes reach the biller with an element missing. Place-of-service coding is left to whoever happens to be on the claim that day.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Practice management software like Pabau moves those checks upstream. Codes are validated against the NCCI edit tables at entry. A conflict with 24076 shows up as a flag before submission, not as a denial 30 days later. Our <a href=\"https:\/\/pabau.com\/features\/claims-management-software\/\" rel=\"noopener\">claims management software<\/a> handles that validation step.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Documentation templates can be built to prompt for tumor depth, size, laterality, and approach as the surgeon closes the note. Connecting those notes to billing through <a href=\"https:\/\/pabau.com\/blog\/ehr-integration\/\" rel=\"noopener\">EHR integration<\/a> removes the manual transcription step where detail usually goes missing.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The result is a shorter feedback loop. Errors are caught on the day of the procedure, by the person who can still fix them. Nobody is left reconstructing an incomplete note a month later.<\/p>\n\n\n        <div id=\"book_a_demo\">\n            <div class=\"left-side\">\n                <div class=\"logo\">\n                    <img decoding=\"async\"\n                        src=\"https:\/\/pabau.com\/wp-content\/uploads\/2026\/01\/Logo.svg\"\n                        alt=\"Logo\"\n                        loading=\"lazy\"\n                    \/>\n                <\/div>\n\n                <h3 class=\"heading\">\n                    Reduce claim denials on surgical codes like CPT 24076                <\/h3>\n\n                <p class=\"description\">\n                    Pabau validates codes against NCCI edit tables, flags bundling conflicts, and prompts for the documentation payers ask for. Orthopedic and surgical practices submit cleaner claims the first time.                <\/p>\n\n                <div class=\"button-group\">\n                    <a href=\"\/book-demo\/\" class=\"btn btn-scale-effect btn-cta-color btn-md\">\n                        <span class=\"btn-text\">Book a demo<\/span>\n                        <div class=\"btn-icon btn-icon-right\" aria-hidden=\"true\">\n                            <svg\n                                width=\"14\"\n                                height=\"12\"\n                                viewBox=\"0 0 14 12\"\n                                fill=\"none\"\n                                xmlns=\"http:\/\/www.w3.org\/2000\/svg\"\n                            >\n                                <path\n                                    d=\"M0.75 4.77295C0.335786 4.77295 0 5.10874 0 5.52295C0 5.93716 0.335786 6.27295 0.75 6.27295V5.52295V4.77295ZM13.2803 6.05328C13.5732 5.76039 13.5732 5.28551 13.2803 4.99262L8.50736 0.219648C8.21447 -0.073245 7.73959 -0.073245 7.4467 0.219648C7.15381 0.512542 7.15381 0.987415 7.4467 1.28031L11.6893 5.52295L7.4467 9.76559C7.15381 10.0585 7.15381 10.5334 7.4467 10.8263C7.73959 11.1191 8.21447 11.1191 8.50736 10.8263L13.2803 6.05328ZM0.75 5.52295V6.27295L12.75 6.27295V5.52295V4.77295L0.75 4.77295V5.52295Z\"\n                                    fill=\"currentColor\"\n                                ><\/path>\n                            <\/svg>\n                        <\/div>\n                    <\/a>\n                <\/div>\n            <\/div>\n\n            <div class=\"right-side\">\n                <img decoding=\"async\"\n                    src=\"https:\/\/pabau.com\/wp-content\/uploads\/2026\/01\/Home-Page-Concept-4.webp\"\n                    alt=\"Pabau claims management dashboard\"\n                    loading=\"lazy\"\n                \/>\n            <\/div>\n        <\/div>\n        \n\n\n<h2 id=\"h-conclusion\" class=\"wp-block-heading\">Conclusion<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Most 24076 problems are not coding problems. They are documentation problems that surface at the coding stage, once the operative note is finished and the surgeon has moved on.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">So the useful work happens earlier. Fix the note template so depth, size, and laterality cannot be left blank, and most of this article stops being relevant to your practice. Keep the size threshold straight while you are at it: 5 cm or greater means 24073, and 24077 is a different operation altogether.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The trade-off is a few extra seconds at the end of each case, against the weeks a suspended claim costs. <a href=\"https:\/\/pabau.com\/book-demo\/\">Book a demo<\/a> to see how Pabau validates surgical codes and captures operative documentation before the claim goes out.<\/p>\n\n\n        <div id=\"expert_picks\">\n            <div class=\"header\">\n                                    <img decoding=\"async\" src=\"https:\/\/pabau.com\/wp-content\/uploads\/2025\/11\/Expert-Picks.svg\" alt=\"Continue your research\" height=\"42\" width=\"42\">\n                                <h3>Continue your research<\/h3>\n            <\/div>\n            <div class=\"content\">\n                                                            <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Coding a tumor excision outside the arm?<\/strong> <a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-21602\/\" rel=\"noopener\">CPT code 21602<\/a> applies the same depth and size logic to the chest wall.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Billing a biopsy rather than an excision?<\/strong> <a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-20250\/\" rel=\"noopener\">CPT code 20250<\/a> covers open biopsy, a separate procedure family with its own documentation rules.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Need a diagnosis code for the upper arm?<\/strong> <a href=\"https:\/\/pabau.com\/diagnostic-codes\/icd-10-code-s46191a\/\" rel=\"noopener\">ICD-10 code S46.191A<\/a> shows how laterality and encounter type change the code you submit.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Billing orthopedic hardware procedures too?<\/strong> <a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-20690\/\" rel=\"noopener\">CPT code 20690<\/a> walks through external fixation billing, RVUs, and the modifiers payers expect.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Documenting the shoulder exam behind the referral?<\/strong> <a href=\"https:\/\/pabau.com\/blog\/neers-test\/\" rel=\"noopener\">Neer&#8217;s test<\/a> explains how to perform it and record the result defensibly.<\/p>\n                        <\/div>\n                                                <\/div>\n        <\/div>\n    \n\n\n<h2 id=\"h-frequently-asked-questions\" class=\"wp-block-heading\">Frequently asked questions<\/h2>\n\n\n\n<div class=\"schema-faq wp-block-yoast-faq-block\"><div class=\"schema-faq-section\" id=\"faq-question-1787038776450\"><h3 class=\"schema-faq-question\">What does CPT code 24076 cover?<\/h3> <p class=\"schema-faq-answer\">CPT code 24076 covers surgical excision of a subfascial soft tissue tumor of the upper arm or elbow area, measuring less than 5 cm. Subfascial means the tumor sits deep to the fascia, usually within muscle. The code sits in the Musculoskeletal System section of the CPT code set. Both tumor depth and tumor size must be documented in the operative and pathology records.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1787038776451\"><h3 class=\"schema-faq-question\">How is CPT 24076 different from CPT 24075 and CPT 24073?<\/h3> <p class=\"schema-faq-answer\">CPT 24075 is the subcutaneous code for tumors under 3 cm, and CPT 24076 is the subfascial code for tumors under 5 cm. A subfascial tumor of 5 cm or greater is CPT 24073. Depth is confirmed by the operative note and size by the pathology report, and both are needed before you select a code.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1787038776456\"><h3 class=\"schema-faq-question\">Is 24077 the right code for a subfascial tumor over 5 cm?<\/h3> <p class=\"schema-faq-answer\">No. CPT 24077 describes radical resection of a tumor of the upper arm or elbow area, measuring less than 5 cm. That is a different procedure from an excision. A subfascial excision of 5 cm or greater is reported with CPT 24073. Radical resection of 5 cm or greater is CPT 24079.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1787038776452\"><h3 class=\"schema-faq-question\">What modifiers can be used with CPT code 24076?<\/h3> <p class=\"schema-faq-answer\">The most common are -22 for increased procedural services and -51 for multiple procedures on the same date. Modifier -59 marks a distinct procedural service that unbundles an NCCI pair. Modifiers -LT and -RT record laterality, which Medicare and many commercial payers require on upper extremity codes.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1787038776453\"><h3 class=\"schema-faq-question\">What ICD-10 codes are commonly paired with CPT 24076?<\/h3> <p class=\"schema-faq-answer\">D21.12 is the most common pairing, covering lipomas and fibromas confirmed on pathology. M79.821 is used pre-authorization while pathology is pending, and C49.12 applies only once malignancy is confirmed. The ICD-10 you submit must match the final pathology report rather than the pre-operative working diagnosis.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1787038776454\"><h3 class=\"schema-faq-question\">Is CPT 24076 subject to NCCI bundling edits?<\/h3> <p class=\"schema-faq-answer\">Yes. NCCI bundles routine closure codes and anesthesia add-ons into 24076, so they cannot be billed separately. Some combinations can be unbundled with modifier -59 when a distinct clinical service is documented. The edits update quarterly, so check the current CMS NCCI Policy Manual each billing cycle.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1787038776455\"><h3 class=\"schema-faq-question\">What documentation is required to bill CPT code 24076?<\/h3> <p class=\"schema-faq-answer\">You need an operative note stating subfascial or intramuscular depth, the tumor&#8217;s greatest dimension in centimeters, the anatomic site and laterality, and the surgical approach. A final pathology report confirming the tissue diagnosis is also required. Missing any one element can cause a denial, a code reclassification, or a post-payment recovery.<\/p> <\/div> <\/div>\n\n","protected":false},"excerpt":{"rendered":"<p>CPT code 24076 covers the excision of a subfascial soft tissue tumor measuring less than 5 cm, in the upper arm or elbow area. The official descriptor reads: Excision, tumor, soft tissue of upper arm or elbow area; subfascial, e.g., intramuscular; less than 5 cm. Three qualifiers decide whether 24076 is the right choice: depth, [&hellip;]<\/p>\n","protected":false},"author":82,"featured_media":183391,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_yoast_wpseo_linkdex":"80","_yoast_wpseo_content_score":"30","_yoast_wpseo_is_cornerstone":"","_yoast_wpseo_keywordsynonyms":"[\"\",\"\",\"\",\"\"]","_yoast_wpseo_focuskw_text_input":"","_seo_original_html":"","footnotes":""},"categories":[1433,1546],"tags":[4116,2394],"class_list":["post-183392","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-billing-codes","category-cpt-codes","tag-billing-codes","tag-coding-compliance"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.2 (Yoast SEO v28.2) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>CPT code 24076 billing guide: Descriptor, RVUs, modifiers<\/title>\n<meta name=\"description\" content=\"CPT code 24076 covers subfascial soft tissue tumor excision under 5 cm in the upper arm or elbow. At 5 cm or greater, use 24073, not 24077.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-24076\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"CPT code 24076 billing guide: Descriptor, RVUs, modifiers\" \/>\n<meta property=\"og:description\" content=\"CPT code 24076 covers subfascial soft tissue tumor excision under 5 cm in the upper arm or elbow. At 5 cm or greater, use 24073, not 24077.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-24076\/\" \/>\n<meta property=\"og:site_name\" content=\"Pabau\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/Pabau\/\" \/>\n<meta property=\"article:published_time\" content=\"2026-08-18T11:51:24+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2026-08-18T12:12:23+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/pabau.com\/wp-content\/uploads\/2026\/08\/cpt-code-24076.webp\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"630\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/webp\" \/>\n<meta name=\"author\" content=\"Maja Popovska\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@pabaucrm\" \/>\n<meta name=\"twitter:site\" content=\"@pabaucrm\" \/>\n<meta name=\"twitter:label1\" content=\"Escrito por\" \/>\n\t<meta name=\"twitter:data1\" content=\"Maja Popovska\" \/>\n\t<meta name=\"twitter:label2\" content=\"Tiempo de lectura\" \/>\n\t<meta name=\"twitter:data2\" content=\"12 minutos\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/cpt-code-24076\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/cpt-code-24076\\\/\"},\"author\":{\"name\":\"Maja Popovska\",\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/#\\\/schema\\\/person\\\/b00aec1dd379f0ddcf6137d78e2a21db\"},\"headline\":\"CPT code 24076: Excision of subfascial soft tissue tumor, upper arm or elbow\",\"datePublished\":\"2026-08-18T11:51:24+00:00\",\"dateModified\":\"2026-08-18T12:12:23+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/cpt-code-24076\\\/\"},\"wordCount\":2558,\"publisher\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/cpt-code-24076\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/08\\\/cpt-code-24076.webp\",\"keywords\":[\"billing codes\",\"Coding Compliance\"],\"articleSection\":[\"Billing Codes\",\"CPT Codes\"],\"inLanguage\":\"es\"},{\"@type\":[\"WebPage\",\"FAQPage\"],\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/cpt-code-24076\\\/\",\"url\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/cpt-code-24076\\\/\",\"name\":\"CPT code 24076 billing guide: Descriptor, RVUs, modifiers\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/cpt-code-24076\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/cpt-code-24076\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/08\\\/cpt-code-24076.webp\",\"datePublished\":\"2026-08-18T11:51:24+00:00\",\"dateModified\":\"2026-08-18T12:12:23+00:00\",\"description\":\"CPT code 24076 covers subfascial soft tissue tumor excision under 5 cm in the upper arm or elbow. At 5 cm or greater, use 24073, not 24077.\",\"mainEntity\":[{\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/cpt-code-24076\\\/#faq-question-1787038776450\"},{\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/cpt-code-24076\\\/#faq-question-1787038776451\"},{\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/cpt-code-24076\\\/#faq-question-1787038776456\"},{\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/cpt-code-24076\\\/#faq-question-1787038776452\"},{\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/cpt-code-24076\\\/#faq-question-1787038776453\"},{\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/cpt-code-24076\\\/#faq-question-1787038776454\"},{\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/cpt-code-24076\\\/#faq-question-1787038776455\"}],\"inLanguage\":\"es\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/cpt-code-24076\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"es\",\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/cpt-code-24076\\\/#primaryimage\",\"url\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/08\\\/cpt-code-24076.webp\",\"contentUrl\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/08\\\/cpt-code-24076.webp\",\"width\":1200,\"height\":630},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/#website\",\"url\":\"https:\\\/\\\/pabau.com\\\/es\\\/\",\"name\":\"Pabau\",\"description\":\"Clinic Software for your Business | Go Paperless Today\",\"publisher\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/pabau.com\\\/es\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"es\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/#organization\",\"name\":\"Pabau\",\"url\":\"https:\\\/\\\/pabau.com\\\/es\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"es\",\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2022\\\/05\\\/Logo-4-e1654525062364.png\",\"contentUrl\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2022\\\/05\\\/Logo-4-e1654525062364.png\",\"width\":736,\"height\":195,\"caption\":\"Pabau\"},\"image\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/www.facebook.com\\\/Pabau\\\/\",\"https:\\\/\\\/x.com\\\/pabaucrm\",\"https:\\\/\\\/www.linkedin.com\\\/company\\\/pabau-ltd\\\/\",\"https:\\\/\\\/www.instagram.com\\\/pabausoftware\\\/\"],\"description\":\"Pabau is an all-in-one healthcare practice management software platform designed for clinics, medspas, therapists, and medical professionals. It combines scheduling, electronic health records, clinical forms, payments, marketing automation, reporting, and patient engagement tools into one secure cloud system to help practices streamline operations and grow their business.\",\"foundingDate\":\"2011-10-20\",\"numberOfEmployees\":{\"@type\":\"QuantitativeValue\",\"minValue\":\"201\",\"maxValue\":\"500\"}},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/#\\\/schema\\\/person\\\/b00aec1dd379f0ddcf6137d78e2a21db\",\"name\":\"Maja Popovska\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"es\",\"@id\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/06\\\/cropped-Maja-Popovska_WP-1-96x96.jpeg\",\"url\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/06\\\/cropped-Maja-Popovska_WP-1-96x96.jpeg\",\"contentUrl\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/06\\\/cropped-Maja-Popovska_WP-1-96x96.jpeg\",\"caption\":\"Maja Popovska\"},\"description\":\"Maja is a Senior Content Writer at Pabau, where she covers everything from practice management and compliance to medical aesthetics and patient experience. Off the clock: binging true crime docuseries, baking and dreaming about travel.\",\"url\":\"https:\\\/\\\/pabau.com\\\/es\\\/blog\\\/author\\\/maja-popovska\\\/\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/cpt-code-24076\\\/#faq-question-1787038776450\",\"position\":1,\"url\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/cpt-code-24076\\\/#faq-question-1787038776450\",\"name\":\"What does CPT code 24076 cover?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"CPT code 24076 covers surgical excision of a subfascial soft tissue tumor of the upper arm or elbow area, measuring less than 5 cm. Subfascial means the tumor sits deep to the fascia, usually within muscle. The code sits in the Musculoskeletal System section of the CPT code set. Both tumor depth and tumor size must be documented in the operative and pathology records.\",\"inLanguage\":\"es\"},\"inLanguage\":\"es\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/cpt-code-24076\\\/#faq-question-1787038776451\",\"position\":2,\"url\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/cpt-code-24076\\\/#faq-question-1787038776451\",\"name\":\"How is CPT 24076 different from CPT 24075 and CPT 24073?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"CPT 24075 is the subcutaneous code for tumors under 3 cm, and CPT 24076 is the subfascial code for tumors under 5 cm. A subfascial tumor of 5 cm or greater is CPT 24073. Depth is confirmed by the operative note and size by the pathology report, and both are needed before you select a code.\",\"inLanguage\":\"es\"},\"inLanguage\":\"es\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/cpt-code-24076\\\/#faq-question-1787038776456\",\"position\":3,\"url\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/cpt-code-24076\\\/#faq-question-1787038776456\",\"name\":\"Is 24077 the right code for a subfascial tumor over 5 cm?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"No. CPT 24077 describes radical resection of a tumor of the upper arm or elbow area, measuring less than 5 cm. That is a different procedure from an excision. A subfascial excision of 5 cm or greater is reported with CPT 24073. Radical resection of 5 cm or greater is CPT 24079.\",\"inLanguage\":\"es\"},\"inLanguage\":\"es\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/cpt-code-24076\\\/#faq-question-1787038776452\",\"position\":4,\"url\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/cpt-code-24076\\\/#faq-question-1787038776452\",\"name\":\"What modifiers can be used with CPT code 24076?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"The most common are -22 for increased procedural services and -51 for multiple procedures on the same date. Modifier -59 marks a distinct procedural service that unbundles an NCCI pair. Modifiers -LT and -RT record laterality, which Medicare and many commercial payers require on upper extremity codes.\",\"inLanguage\":\"es\"},\"inLanguage\":\"es\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/cpt-code-24076\\\/#faq-question-1787038776453\",\"position\":5,\"url\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/cpt-code-24076\\\/#faq-question-1787038776453\",\"name\":\"What ICD-10 codes are commonly paired with CPT 24076?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"D21.12 is the most common pairing, covering lipomas and fibromas confirmed on pathology. M79.821 is used pre-authorization while pathology is pending, and C49.12 applies only once malignancy is confirmed. The ICD-10 you submit must match the final pathology report rather than the pre-operative working diagnosis.\",\"inLanguage\":\"es\"},\"inLanguage\":\"es\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/cpt-code-24076\\\/#faq-question-1787038776454\",\"position\":6,\"url\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/cpt-code-24076\\\/#faq-question-1787038776454\",\"name\":\"Is CPT 24076 subject to NCCI bundling edits?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Yes. NCCI bundles routine closure codes and anesthesia add-ons into 24076, so they cannot be billed separately. Some combinations can be unbundled with modifier -59 when a distinct clinical service is documented. The edits update quarterly, so check the current CMS NCCI Policy Manual each billing cycle.\",\"inLanguage\":\"es\"},\"inLanguage\":\"es\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/cpt-code-24076\\\/#faq-question-1787038776455\",\"position\":7,\"url\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/cpt-code-24076\\\/#faq-question-1787038776455\",\"name\":\"What documentation is required to bill CPT code 24076?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"You need an operative note stating subfascial or intramuscular depth, the tumor's greatest dimension in centimeters, the anatomic site and laterality, and the surgical approach. A final pathology report confirming the tissue diagnosis is also required. Missing any one element can cause a denial, a code reclassification, or a post-payment recovery.\",\"inLanguage\":\"es\"},\"inLanguage\":\"es\"}]}<\/script>\n<!-- \/ Yoast SEO Premium plugin. -->","yoast_head_json":{"title":"CPT code 24076 billing guide: Descriptor, RVUs, modifiers","description":"CPT code 24076 covers subfascial soft tissue tumor excision under 5 cm in the upper arm or elbow. At 5 cm or greater, use 24073, not 24077.","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-24076\/","og_locale":"es_ES","og_type":"article","og_title":"CPT code 24076 billing guide: Descriptor, RVUs, modifiers","og_description":"CPT code 24076 covers subfascial soft tissue tumor excision under 5 cm in the upper arm or elbow. At 5 cm or greater, use 24073, not 24077.","og_url":"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-24076\/","og_site_name":"Pabau","article_publisher":"https:\/\/www.facebook.com\/Pabau\/","article_published_time":"2026-08-18T11:51:24+00:00","article_modified_time":"2026-08-18T12:12:23+00:00","og_image":[{"width":1200,"height":630,"url":"https:\/\/pabau.com\/wp-content\/uploads\/2026\/08\/cpt-code-24076.webp","type":"image\/webp"}],"author":"Maja Popovska","twitter_card":"summary_large_image","twitter_creator":"@pabaucrm","twitter_site":"@pabaucrm","twitter_misc":{"Escrito por":"Maja Popovska","Tiempo de lectura":"12 minutos"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-24076\/#article","isPartOf":{"@id":"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-24076\/"},"author":{"name":"Maja Popovska","@id":"https:\/\/pabau.com\/es\/#\/schema\/person\/b00aec1dd379f0ddcf6137d78e2a21db"},"headline":"CPT code 24076: Excision of subfascial soft tissue tumor, upper arm or elbow","datePublished":"2026-08-18T11:51:24+00:00","dateModified":"2026-08-18T12:12:23+00:00","mainEntityOfPage":{"@id":"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-24076\/"},"wordCount":2558,"publisher":{"@id":"https:\/\/pabau.com\/es\/#organization"},"image":{"@id":"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-24076\/#primaryimage"},"thumbnailUrl":"https:\/\/pabau.com\/wp-content\/uploads\/2026\/08\/cpt-code-24076.webp","keywords":["billing codes","Coding Compliance"],"articleSection":["Billing Codes","CPT Codes"],"inLanguage":"es"},{"@type":["WebPage","FAQPage"],"@id":"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-24076\/","url":"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-24076\/","name":"CPT code 24076 billing guide: Descriptor, RVUs, modifiers","isPartOf":{"@id":"https:\/\/pabau.com\/es\/#website"},"primaryImageOfPage":{"@id":"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-24076\/#primaryimage"},"image":{"@id":"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-24076\/#primaryimage"},"thumbnailUrl":"https:\/\/pabau.com\/wp-content\/uploads\/2026\/08\/cpt-code-24076.webp","datePublished":"2026-08-18T11:51:24+00:00","dateModified":"2026-08-18T12:12:23+00:00","description":"CPT code 24076 covers subfascial soft tissue tumor excision under 5 cm in the upper arm or elbow. At 5 cm or greater, use 24073, not 24077.","mainEntity":[{"@id":"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-24076\/#faq-question-1787038776450"},{"@id":"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-24076\/#faq-question-1787038776451"},{"@id":"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-24076\/#faq-question-1787038776456"},{"@id":"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-24076\/#faq-question-1787038776452"},{"@id":"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-24076\/#faq-question-1787038776453"},{"@id":"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-24076\/#faq-question-1787038776454"},{"@id":"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-24076\/#faq-question-1787038776455"}],"inLanguage":"es","potentialAction":[{"@type":"ReadAction","target":["https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-24076\/"]}]},{"@type":"ImageObject","inLanguage":"es","@id":"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-24076\/#primaryimage","url":"https:\/\/pabau.com\/wp-content\/uploads\/2026\/08\/cpt-code-24076.webp","contentUrl":"https:\/\/pabau.com\/wp-content\/uploads\/2026\/08\/cpt-code-24076.webp","width":1200,"height":630},{"@type":"WebSite","@id":"https:\/\/pabau.com\/es\/#website","url":"https:\/\/pabau.com\/es\/","name":"Pabau","description":"Clinic Software for your Business | Go Paperless Today","publisher":{"@id":"https:\/\/pabau.com\/es\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/pabau.com\/es\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"es"},{"@type":"Organization","@id":"https:\/\/pabau.com\/es\/#organization","name":"Pabau","url":"https:\/\/pabau.com\/es\/","logo":{"@type":"ImageObject","inLanguage":"es","@id":"https:\/\/pabau.com\/es\/#\/schema\/logo\/image\/","url":"https:\/\/pabau.com\/wp-content\/uploads\/2022\/05\/Logo-4-e1654525062364.png","contentUrl":"https:\/\/pabau.com\/wp-content\/uploads\/2022\/05\/Logo-4-e1654525062364.png","width":736,"height":195,"caption":"Pabau"},"image":{"@id":"https:\/\/pabau.com\/es\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/Pabau\/","https:\/\/x.com\/pabaucrm","https:\/\/www.linkedin.com\/company\/pabau-ltd\/","https:\/\/www.instagram.com\/pabausoftware\/"],"description":"Pabau is an all-in-one healthcare practice management software platform designed for clinics, medspas, therapists, and medical professionals. It combines scheduling, electronic health records, clinical forms, payments, marketing automation, reporting, and patient engagement tools into one secure cloud system to help practices streamline operations and grow their business.","foundingDate":"2011-10-20","numberOfEmployees":{"@type":"QuantitativeValue","minValue":"201","maxValue":"500"}},{"@type":"Person","@id":"https:\/\/pabau.com\/es\/#\/schema\/person\/b00aec1dd379f0ddcf6137d78e2a21db","name":"Maja Popovska","image":{"@type":"ImageObject","inLanguage":"es","@id":"https:\/\/pabau.com\/wp-content\/uploads\/2026\/06\/cropped-Maja-Popovska_WP-1-96x96.jpeg","url":"https:\/\/pabau.com\/wp-content\/uploads\/2026\/06\/cropped-Maja-Popovska_WP-1-96x96.jpeg","contentUrl":"https:\/\/pabau.com\/wp-content\/uploads\/2026\/06\/cropped-Maja-Popovska_WP-1-96x96.jpeg","caption":"Maja Popovska"},"description":"Maja is a Senior Content Writer at Pabau, where she covers everything from practice management and compliance to medical aesthetics and patient experience. Off the clock: binging true crime docuseries, baking and dreaming about travel.","url":"https:\/\/pabau.com\/es\/blog\/author\/maja-popovska\/"},{"@type":"Question","@id":"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-24076\/#faq-question-1787038776450","position":1,"url":"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-24076\/#faq-question-1787038776450","name":"What does CPT code 24076 cover?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"CPT code 24076 covers surgical excision of a subfascial soft tissue tumor of the upper arm or elbow area, measuring less than 5 cm. Subfascial means the tumor sits deep to the fascia, usually within muscle. The code sits in the Musculoskeletal System section of the CPT code set. Both tumor depth and tumor size must be documented in the operative and pathology records.","inLanguage":"es"},"inLanguage":"es"},{"@type":"Question","@id":"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-24076\/#faq-question-1787038776451","position":2,"url":"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-24076\/#faq-question-1787038776451","name":"How is CPT 24076 different from CPT 24075 and CPT 24073?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"CPT 24075 is the subcutaneous code for tumors under 3 cm, and CPT 24076 is the subfascial code for tumors under 5 cm. A subfascial tumor of 5 cm or greater is CPT 24073. Depth is confirmed by the operative note and size by the pathology report, and both are needed before you select a code.","inLanguage":"es"},"inLanguage":"es"},{"@type":"Question","@id":"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-24076\/#faq-question-1787038776456","position":3,"url":"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-24076\/#faq-question-1787038776456","name":"Is 24077 the right code for a subfascial tumor over 5 cm?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"No. CPT 24077 describes radical resection of a tumor of the upper arm or elbow area, measuring less than 5 cm. That is a different procedure from an excision. A subfascial excision of 5 cm or greater is reported with CPT 24073. Radical resection of 5 cm or greater is CPT 24079.","inLanguage":"es"},"inLanguage":"es"},{"@type":"Question","@id":"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-24076\/#faq-question-1787038776452","position":4,"url":"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-24076\/#faq-question-1787038776452","name":"What modifiers can be used with CPT code 24076?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"The most common are -22 for increased procedural services and -51 for multiple procedures on the same date. Modifier -59 marks a distinct procedural service that unbundles an NCCI pair. Modifiers -LT and -RT record laterality, which Medicare and many commercial payers require on upper extremity codes.","inLanguage":"es"},"inLanguage":"es"},{"@type":"Question","@id":"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-24076\/#faq-question-1787038776453","position":5,"url":"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-24076\/#faq-question-1787038776453","name":"What ICD-10 codes are commonly paired with CPT 24076?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"D21.12 is the most common pairing, covering lipomas and fibromas confirmed on pathology. M79.821 is used pre-authorization while pathology is pending, and C49.12 applies only once malignancy is confirmed. The ICD-10 you submit must match the final pathology report rather than the pre-operative working diagnosis.","inLanguage":"es"},"inLanguage":"es"},{"@type":"Question","@id":"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-24076\/#faq-question-1787038776454","position":6,"url":"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-24076\/#faq-question-1787038776454","name":"Is CPT 24076 subject to NCCI bundling edits?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"Yes. NCCI bundles routine closure codes and anesthesia add-ons into 24076, so they cannot be billed separately. Some combinations can be unbundled with modifier -59 when a distinct clinical service is documented. The edits update quarterly, so check the current CMS NCCI Policy Manual each billing cycle.","inLanguage":"es"},"inLanguage":"es"},{"@type":"Question","@id":"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-24076\/#faq-question-1787038776455","position":7,"url":"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-24076\/#faq-question-1787038776455","name":"What documentation is required to bill CPT code 24076?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"You need an operative note stating subfascial or intramuscular depth, the tumor's greatest dimension in centimeters, the anatomic site and laterality, and the surgical approach. A final pathology report confirming the tissue diagnosis is also required. Missing any one element can cause a denial, a code reclassification, or a post-payment recovery.","inLanguage":"es"},"inLanguage":"es"}]}},"yoast":{"focus_keyword":"cpt code 24076","seo_title":"CPT code 24076 billing guide: Descriptor, RVUs, modifiers","meta_description":"CPT code 24076 covers subfascial soft tissue tumor excision under 5 cm in the upper arm or elbow. At 5 cm or greater, use 24073, not 24077.","content_score":"30","is_cornerstone":"","related_keyphrases":[{"keyword":"soft tissue tumor excision upper arm","score":65},{"keyword":"subfascial tumor excision billing","score":61},{"keyword":"ncci edits musculoskeletal","score":61}]},"_links":{"self":[{"href":"https:\/\/pabau.com\/es\/wp-json\/wp\/v2\/posts\/183392","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pabau.com\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/pabau.com\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/pabau.com\/es\/wp-json\/wp\/v2\/users\/82"}],"replies":[{"embeddable":true,"href":"https:\/\/pabau.com\/es\/wp-json\/wp\/v2\/comments?post=183392"}],"version-history":[{"count":3,"href":"https:\/\/pabau.com\/es\/wp-json\/wp\/v2\/posts\/183392\/revisions"}],"predecessor-version":[{"id":183896,"href":"https:\/\/pabau.com\/es\/wp-json\/wp\/v2\/posts\/183392\/revisions\/183896"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/pabau.com\/es\/wp-json\/wp\/v2\/media\/183391"}],"wp:attachment":[{"href":"https:\/\/pabau.com\/es\/wp-json\/wp\/v2\/media?parent=183392"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/pabau.com\/es\/wp-json\/wp\/v2\/categories?post=183392"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/pabau.com\/es\/wp-json\/wp\/v2\/tags?post=183392"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}