Overview of CPT Code 24935: Excision of forearm tumor

Overview of CPT Code 24935: Excision of forearm tumor

CPT Code 24935 refers to the surgical excision of a tumor located in the forearm. This procedure is performed to remove benign or malignant growths, ensuring that surrounding healthy tissue is preserved as much as possible.

When CPT Code 24935 is Used?

This procedure is indicated in various clinical scenarios.

• Presence of a palpable tumor in the forearm that requires removal.
• Suspicion of malignancy based on imaging or biopsy results.
• Tumors causing pain, discomfort, or functional impairment.
• Cosmetic concerns related to 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.
• Changes in skin color or texture over the tumor.
• Limited range of motion or function in the affected arm.

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 skin cancer or other malignancies.
• Exposure to radiation or carcinogenic substances.
• Chronic inflammation or irritation in the forearm area.

Diagnostic Tests Before Procedure

Several diagnostic tests may be performed to guide the decision for surgery.

• 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 of malignancy.

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 around the tumor.
• An incision is made over the tumor to access and remove it.
• Surrounding tissue may be examined to ensure complete removal.
• 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 several hours before the procedure if sedation is planned.
• Discuss any medications with your doctor, especially blood thinners.
• Arrange for transportation home after the procedure.
• Wear loose-fitting clothing to allow easy access to the forearm.

Recovery and Aftercare

Post-operative care is crucial for healing.

• Rest the arm and avoid strenuous activities for at least a week.
• Keep the surgical 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 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 for monitoring recovery.

• Schedule a follow-up visit 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 malignancy is confirmed.

Alternative Treatments

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

• Observation for benign tumors that are not causing symptoms.
• Cryotherapy to freeze and destroy abnormal tissue.
• Radiation therapy for certain types of malignant tumors.
• Medications to manage symptoms or slow tumor growth.

Home Care Tips

Simple tips can aid in recovery at home.

• Keep the surgical area clean and dry.
• Avoid soaking the wound in water until cleared by your doctor.
• Monitor for any signs of infection, such as increased redness or discharge.
• Follow a balanced diet to support healing.

Patient Education & Prevention

Education can help prevent recurrence and promote health.

• Regular skin checks for new or changing growths.
• Sun protection to reduce skin cancer risk.
• Healthy lifestyle choices to support overall well-being.
• Promptly report any new symptoms or changes to your healthcare provider.

Billing and Coding Information

CPT Code: 24935

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 $1,500 to $3,000 depending on complexity.
• Insurance may cover the procedure if deemed medically necessary.
• Out-of-pocket costs depend on individual insurance plans and deductibles.

Related CPT Codes

• 24930 - Excision of forearm tumor
• 24931 - Repair of ruptured tendon, forearm