Overview of CPT Code 23183: Excision of Tumor, Shoulder
CPT Code 23183 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 23183 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 visualize the tumor and surrounding structures.
- Ultrasound to assess the characteristics of the tumor.
- 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 based on the tumor's size and location.
- 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.
- Consult with the surgeon about medications to avoid prior to surgery.
- Arrange for transportation to and from the surgical facility.
- Follow pre-operative fasting instructions if general anesthesia is used.
- Discuss any allergies or medical conditions with the healthcare provider.
Recovery and Aftercare
Post-operative care is crucial for healing.
- Rest the shoulder and avoid strenuous activities for several weeks.
- Keep the surgical site clean and dry; follow 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 surgical site.
- Excessive bleeding or hematoma formation.
- Nerve damage leading to weakness or numbness.
- Recurrence of the tumor if not completely excised.
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Post-Procedure Follow-Up
Follow-up care is important for monitoring recovery.
- Initial follow-up within one to two weeks post-surgery.
- Regular check-ups every few months for the first year.
- Imaging studies may be repeated to ensure no recurrence.
- Long-term follow-up based on the tumor type and pathology results.
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.
- Physical therapy to improve shoulder function without surgery.
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 doctor.
Patient Education & Prevention
Education is key to preventing recurrence.
- Regular self-examinations for any new lumps or changes.
- Maintain a healthy lifestyle to reduce cancer risk.
- Stay informed about family history of tumors.
- Follow up with healthcare providers for routine screenings.
Billing and Coding Information
CPT Code: 23183
Category: Surgery
Common Modifiers:
- 50 - Bilateral procedure
- 59 - Distinct procedural service
Average Cost and Insurance Coverage
Costs can vary based on several factors.
- Average cost ranges from $3,000 to $7,000 depending on facility and complexity.
- Most insurance plans cover the procedure if deemed medically necessary.
- Out-of-pocket costs may vary based on deductible and co-insurance.
Related CPT Codes
Frequently Asked Questions (FAQs)
What is the purpose of the excision?
The excision aims to remove a tumor that may be causing pain or could be cancerous.
How long is the recovery period?
Recovery typically takes a few weeks, but full healing may take longer.
Will I have a scar after the procedure?
Yes, there will be a scar, but it usually fades over time.
Can I return to normal activities after surgery?
You should avoid strenuous activities for several weeks as advised by your doctor.
