Overview of CPT Code 24925: Excision of soft tissue tumor, forearm
CPT Code 24925 refers to the surgical excision of a soft tissue tumor located in the forearm. This procedure is performed to remove tumors that may be benign or malignant, ensuring that surrounding healthy tissue is preserved.
When CPT Code 24925 is Used?
This procedure is indicated in various clinical scenarios.
- Presence of a palpable soft tissue tumor in the forearm.
- Suspicion of malignancy based on imaging or physical examination.
- Tumors causing pain or functional impairment.
- Cosmetic concerns regarding the appearance of the tumor.
Symptoms Indicating This Procedure
Patients may report several symptoms that lead to the consideration of this procedure.
- A noticeable lump or mass in the forearm.
- Pain or tenderness in the area of the tumor.
- Limited range of motion or functional impairment.
- Changes in skin color or texture over the tumor.
Causes and Risk Factors
Understanding the causes and risk factors can help in identifying patients who may need this procedure.
- Genetic predisposition to soft tissue tumors.
- Previous history of tumors or cancers.
- Exposure to radiation or certain chemicals.
- Age and gender, as some tumors are more common in specific demographics.
Diagnostic Tests Before Procedure
Several diagnostic tests may be performed to assess the tumor before excision.
- Ultrasound imaging to evaluate the size and characteristics of the tumor.
- MRI scans for detailed imaging of soft tissue structures.
- 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 forearm is cleaned and sterilized.
- Local anesthesia is administered to numb the area.
- 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 sterile dressing is applied.
Preparation for the Procedure
Patients should follow specific guidelines to prepare for the excision.
- 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 post-procedure due to potential sedation effects.
- Wear loose-fitting clothing to allow easy access to the forearm.
Recovery and Aftercare
Post-procedure recovery is crucial for healing.
- Rest the arm and avoid strenuous activities for at least a week.
- Keep the incision site clean and dry, changing dressings as instructed.
- Take prescribed pain medications as needed.
- Attend follow-up appointments to monitor healing and remove sutures if necessary.
Possible Complications
While generally safe, there are potential risks associated with the procedure.
- Infection at the incision site.
- Excessive bleeding during or after the procedure.
- 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.
- Schedule a follow-up appointment within 1-2 weeks post-surgery.
- Monitor for signs of infection or complications.
- Discuss pathology results if a biopsy was performed.
- Plan for any additional treatments if the tumor is found to be malignant.
Alternative Treatments
In some cases, non-surgical options may be considered.
- Observation for benign tumors that are not causing symptoms.
- Corticosteroid injections to reduce inflammation.
- Radiation therapy for certain types of malignant tumors.
- Cryotherapy to freeze and destroy abnormal tissue.
Home Care Tips
Patients can follow these tips for effective home care.
- Keep the surgical area clean and dry.
- Avoid soaking the incision in water until cleared by the doctor.
- Monitor for any signs of infection, such as increased redness or swelling.
- Follow a balanced diet to support healing.
Patient Education & Prevention
Educating patients can help in prevention and early detection.
- Regular self-examinations of the forearm for any new lumps.
- Awareness of family history related to soft tissue tumors.
- Promptly reporting any changes in existing tumors to a healthcare provider.
- Maintaining a healthy lifestyle to reduce cancer risk.
Billing and Coding Information
CPT Code: 24925
Category: Surgical Procedures
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 $1,500 to $3,000 depending on facility and complexity.
- Most insurance plans cover the procedure if deemed medically necessary.
- Out-of-pocket costs may apply depending on the insurance plan.
Related CPT Codes
- 24900 - Excision of Tumor, Forearm
- 24920 - Excision of Tumor, Forearm
Frequently Asked Questions (FAQs)
What is a soft tissue tumor?
A soft tissue tumor is an abnormal growth of tissue that can occur in muscles, fat, nerves, or blood vessels.
Is the excision procedure painful?
Local anesthesia is used to minimize pain during the procedure, and discomfort afterward can be managed with medication.
How long does recovery take?
Most patients can expect to return to normal activities within 1-2 weeks, depending on the extent of the surgery.
Will there be a scar after the procedure?
There may be a scar, but it typically fades over time. Proper wound care can help minimize scarring.
Can the tumor come back after excision?
While many tumors do not recur, some may return, especially if not completely removed. Regular follow-up is important.
