Overview of CPT Code 23180: Excision of Tumor, Shoulder

CPT Code 23180 refers to the surgical excision of a tumor located in the shoulder region. This procedure is performed to remove abnormal growths that may be benign or malignant, ensuring the health and functionality of the shoulder.

When CPT Code 23180 is Used?

This procedure is indicated in various clinical scenarios.

Presence of a palpable tumor in the shoulder area.
Suspicion of malignancy based on imaging or biopsy results.
Tumors causing pain or functional impairment.
Need for definitive diagnosis through histopathological examination.

Symptoms Indicating This Procedure

Patients may report several symptoms that lead to the consideration of this procedure.

A noticeable lump or mass in the shoulder.
Pain or discomfort in the shoulder region.
Limited range of motion in the shoulder joint.
Swelling or inflammation around the tumor site.

Causes and Risk Factors

Understanding the causes and risk factors can help in prevention and early detection.

Genetic predisposition to certain types of tumors.
Previous history of cancer or tumors.
Exposure to radiation or carcinogenic substances.
Age-related changes in tissue that may lead to tumor formation.

Diagnostic Tests Before Procedure

Several diagnostic tests may be conducted to assess the tumor before excision.

MRI or CT scans to evaluate the size and extent of the tumor.
Ultrasound to guide needle biopsies.
Biopsy to determine the nature of the tumor (benign or malignant).
Blood tests to check for markers associated with specific tumors.

Procedure Description

The excision procedure involves several key steps.

Patient is positioned comfortably, and the shoulder area is cleaned and sterilized.
Local or general anesthesia is administered to ensure patient comfort.
An incision is made over the tumor site to access the tumor.
The tumor is carefully excised along with a margin of healthy tissue.
The incision is closed with sutures or staples, and a sterile dressing is applied.

Preparation for the Procedure

Proper preparation is essential for a successful procedure.

Avoid eating or drinking for at least 8 hours before the procedure if general anesthesia is planned.
Discuss any medications with the healthcare provider, especially blood thinners.
Arrange for transportation home post-procedure due to anesthesia effects.
Wear loose-fitting clothing to allow easy access to the shoulder.

Recovery and Aftercare

Post-operative care is crucial for healing.

Rest the shoulder and avoid strenuous activities for several weeks.
Keep the incision site clean and dry; follow specific wound care instructions.
Take prescribed pain medications as needed.
Attend follow-up appointments to monitor healing and remove sutures if necessary.

Possible Complications

While complications are rare, they can occur.

Infection at the incision site.
Excessive bleeding during or after the procedure.
Scarring or changes in skin sensation around the surgical site.
Recurrence of the tumor if not completely excised.

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Post-Procedure Follow-Up

Follow-up care is important for recovery.

Initial follow-up within 1-2 weeks to assess healing.
Further follow-ups may be scheduled based on pathology results.
Regular monitoring for any signs of recurrence or complications.

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 take steps to aid their recovery at home.

Apply ice packs to reduce swelling in the first 48 hours.
Follow a balanced diet to support healing.
Avoid smoking, as it can impede recovery.
Engage in gentle range-of-motion exercises as advised by the healthcare provider.