Overview of CPT Code 22110: Excision, tumor, soft tissue of neck or thorax

Overview of CPT Code 22110: Excision, tumor, soft tissue of neck or thorax

CPT Code 22110 refers to the surgical excision of a tumor located in the soft tissue of the neck or thorax. This procedure is typically performed to remove benign or malignant tumors, ensuring complete removal to prevent recurrence and to facilitate further pathological examination.

When CPT Code 22110 is Used?

This code is applicable in various clinical scenarios, including:

• Presence of a palpable tumor in the neck or thorax.
• Suspicion of malignancy based on imaging or biopsy results.
• Tumors causing symptoms such as pain or difficulty swallowing.
• Need for cosmetic improvement after tumor removal.

Symptoms Indicating This Procedure

Patients may report the following symptoms that could necessitate this procedure:

• A noticeable lump or mass in the neck or thorax.
• Pain or discomfort in the affected area.
• Difficulty breathing or swallowing.
• Changes in voice or hoarseness.

Causes and Risk Factors

Several factors may contribute to the development of tumors in the soft tissue of the neck or thorax:

• Genetic predisposition to certain types of tumors.
• Previous radiation exposure to the neck or thorax.
• Chronic inflammation or infection.
• Age-related changes in tissue.

Diagnostic Tests Before Procedure

Prior to the excision, several diagnostic tests may be conducted:

• Ultrasound imaging to assess the size and characteristics of the tumor.
• CT or MRI scans for detailed visualization.
• Biopsy to determine the nature of the tumor (benign or malignant).
• Blood tests to evaluate overall health and detect any underlying conditions.

Procedure Description

The excision procedure typically follows these steps:

• Patient is positioned comfortably and sedated or anesthetized.
• The surgical area is cleaned and draped to maintain sterility.
• An incision is made over the tumor site to access the soft tissue.
• The tumor is carefully excised along with a margin of healthy tissue.
• The incision is closed with sutures or staples, and a dressing is applied.

Preparation for the Procedure

Patients should follow these preparatory steps:

• Consult with the surgeon about medications to avoid prior to surgery.
• Fast for a specified period before the procedure, as instructed.
• Arrange for transportation home post-surgery due to anesthesia.
• Discuss any allergies or medical conditions with the healthcare team.

Recovery and Aftercare

Post-procedure recovery typically involves:

• Resting for the first few days after surgery.
• Keeping the surgical site clean and dry.
• Monitoring for signs of infection, such as increased redness or discharge.
• Taking prescribed pain medications as needed.

Possible Complications

While generally safe, this procedure carries some risks:

• Infection at the surgical site.
• Excessive bleeding or hematoma formation.
• Scarring or changes in skin sensation.
• Recurrence of the tumor if not completely excised.

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Post-Procedure Follow-Up

Follow-up care is essential for monitoring recovery:

• Initial follow-up appointment within 1-2 weeks post-surgery.
• Regular check-ups to monitor for recurrence or complications.
• Pathology results review to determine further treatment if necessary.

Alternative Treatments

In some cases, non-surgical options may be considered:

• Observation for benign tumors without symptoms.
• Radiation therapy for certain types of malignant tumors.
• Chemotherapy for systemic treatment of cancer.

Home Care Tips

Patients can follow these tips for effective home care:

• Keep the incision site clean and dry.
• Avoid strenuous activities until cleared by the doctor.
• Follow a balanced diet to support healing.
• Stay hydrated and rest adequately.

Patient Education & Prevention

Educating patients on prevention is crucial:

• Regular check-ups for early detection of tumors.
• Awareness of family history related to tumors.
• Healthy lifestyle choices to reduce cancer risk.
• Avoiding known carcinogens and harmful substances.

Billing and Coding Information

CPT Code: 22110

Category: Surgical Procedures

Common Modifiers:

• 50 (bilateral procedure)
• RT (right side)
• LT (left side)

Average Cost and Insurance Coverage

Costs can vary based on several factors:

• Average cost ranges from $2,000 to $5,000 depending on complexity.
• Insurance typically covers medically necessary procedures.
• Out-of-pocket costs may apply based on individual plans.

Related CPT Codes

• 22112 - Excision of benign skin lesion, excised diameter over 4 cm
• 22113 - Excision of benign skin lesion, face, ears, scalp
• 21550 - Excision, tumor, soft tissue of neck or thorax
• 21552 - Excision, tumor, soft tissue of neck or thorax

References and Sources

• American College of Surgeons
• National Cancer Institute
• Mayo Clinic