Overview of CPT Code 23931: Excision of soft tissue tumor

Overview of CPT Code 23931: Excision of soft tissue tumor

CPT Code 23931 refers to the surgical excision of a soft tissue tumor, which may be benign or malignant, located in the soft tissues of the body. This procedure is performed to remove the tumor and surrounding tissue to ensure complete excision and to prevent recurrence.

When CPT Code 23931 is Used?

This procedure is indicated in various clinical scenarios.

• Presence of a palpable soft tissue tumor that is suspected to be malignant.
• Benign tumors causing discomfort or functional impairment.
• Tumors that have changed in size, shape, or color.
• Tumors that are symptomatic, such as causing pain or pressure.

Symptoms Indicating This Procedure

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

• A noticeable lump or mass in the soft tissue.
• Pain or tenderness in the area of the tumor.
• Changes in the skin over the tumor, such as redness or ulceration.
• Limited range of motion or function in the affected area.

Causes and Risk Factors

Understanding the causes and risk factors can help in identifying patients who may need this procedure.

• Genetic predisposition to certain types of tumors.
• Previous history of cancer or tumors.
• Exposure to radiation or carcinogenic substances.
• Age and gender, as some tumors are more common in specific demographics.

Diagnostic Tests Before Procedure

Several diagnostic tests may be performed to evaluate the tumor before excision.

• Ultrasound imaging to assess the size and characteristics of the tumor.
• MRI or CT scans for detailed imaging of the tumor and surrounding tissues.
• Biopsy to determine the nature of the tumor (benign vs malignant).
• Blood tests to check for markers associated with certain tumors.

Procedure Description

The excision procedure involves several key steps.

• Patient is positioned comfortably and the area is cleaned and sterilized.
• Local anesthesia is administered to numb the area around the tumor.
• An incision is made over the tumor 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

Proper preparation is essential for a successful procedure.

• Avoid eating or drinking for several hours before the procedure if sedation is planned.
• Discuss any medications with the healthcare provider, especially blood thinners.
• Arrange for transportation home after the procedure if sedation is used.
• Wear loose-fitting clothing to the appointment for comfort.

Recovery and Aftercare

Post-procedure care is crucial for healing.

• Rest for the first 24 hours after the procedure.
• Keep the surgical site clean and dry; follow specific wound care instructions.
• Take prescribed pain medications as needed.
• Monitor for signs of infection, such as increased redness, swelling, or discharge.

Possible Complications

While complications are rare, they can occur.

• 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 important to ensure proper healing.

• Schedule a follow-up appointment within 1-2 weeks to check the surgical site.
• Discuss pathology results if a biopsy was performed.
• Monitor for any signs of complications or recurrence.
• Follow up as directed by the healthcare provider based on individual circumstances.

Alternative Treatments

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

• Observation for small, asymptomatic tumors.
• Radiation therapy for certain types of malignant tumors.
• Cryotherapy or laser therapy for superficial tumors.
• Medications to manage symptoms associated with benign tumors.

Home Care Tips

Patients can take steps at home to aid recovery.

• Keep the surgical area clean and dry.
• Avoid strenuous activities for a few weeks post-surgery.
• Follow a healthy diet to support healing.
• Stay hydrated and get plenty of rest.

Patient Education & Prevention

Educating patients can help prevent recurrence.

• Regular skin checks for new or changing lesions.
• Awareness of family history of tumors or cancers.
• Sun protection to reduce the risk of skin tumors.
• Healthy lifestyle choices to lower cancer risk.

Billing and Coding Information

CPT Code: 23931

Category: Surgery

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 $1,500 to $3,000 depending on complexity.
• Insurance may cover the procedure if deemed medically necessary.
• Out-of-pocket costs depend on the patient's insurance plan and deductible.

Related CPT Codes

• 19120 - Excision of Breast Lesion
• 11400 - Excision, benign skin lesion, face, ears, scalp, neck; excised diameter over 4.0 cm.
• 11600 - Excision, malignant skin lesion, face, ears, scalp, neck; excised diameter over 4.0 cm.
• 24075 - Excision of soft tissue mass, upper arm
• 24076 - Injection of corticosteroid into shoulder joint