Overview of CPT Code 25100:excision-of-ganglion-cyst-wrist

Overview of CPT Code 25100:excision-of-ganglion-cyst-wrist

CPT Code 25100 refers to the surgical excision of a ganglion cyst located on the wrist. Ganglion cysts are noncancerous lumps that often develop along the tendons or joints of the wrists and hands, filled with a jelly-like fluid.

When CPT Code 25100 is Used?

This procedure is indicated in various clinical scenarios.

• Persistent pain or discomfort caused by the ganglion cyst.
• Cyst size increasing or causing functional limitations.
• Cyst causing nerve compression symptoms such as tingling or numbness.
• Failure of conservative treatments such as aspiration or splinting.

Symptoms Indicating This Procedure

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

• Visible lump on the wrist or hand.
• Pain or discomfort in the wrist area.
• Swelling that fluctuates in size.
• Limited range of motion in the wrist.

Causes and Risk Factors

Understanding the causes and risk factors can help in prevention and management.

• Repetitive wrist movements or overuse.
• Previous wrist injuries or trauma.
• Arthritis or joint conditions.
• Genetic predisposition to developing cysts.

Diagnostic Tests Before Procedure

Certain tests may be performed to confirm the diagnosis.

• Physical examination to assess the cyst.
• Ultrasound imaging to evaluate the cyst's characteristics.
• MRI may be used in complex cases to assess surrounding structures.

Procedure Description

The excision procedure involves several key steps.

• Patient is positioned comfortably, and the wrist is cleaned and sterilized.
• Local anesthesia is administered to numb the area.
• An incision is made over the cyst to access it.
• The cyst is carefully excised along with its stalk to minimize recurrence.
• The incision is closed with sutures, and a sterile dressing is applied.

Preparation for the Procedure

Patients should follow specific guidelines before the surgery.

• Avoid blood thinners or anti-inflammatory medications as advised by the physician.
• Arrange for transportation to and from the procedure.
• Discuss any allergies or medical conditions with the healthcare provider.
• Follow fasting instructions if sedation is planned.

Recovery and Aftercare

Post-operative care is crucial for optimal recovery.

• Rest the wrist and avoid strenuous activities for several weeks.
• Keep the surgical site clean and dry, changing dressings as instructed.
• Take prescribed pain medications as needed.
• Attend follow-up appointments to monitor healing.

Possible Complications

While complications are rare, they can occur.

• Infection at the surgical site.
• Nerve damage leading to numbness or weakness.
• Recurrence of the ganglion cyst.
• Scarring or changes in wrist mobility.

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Post-Procedure Follow-Up

Regular follow-up is essential for monitoring recovery.

• Initial follow-up within 1-2 weeks post-surgery.
• Additional visits may be scheduled to assess healing and remove sutures.
• Long-term follow-up if symptoms recur or complications arise.

Alternative Treatments

Non-surgical options may be considered before excision.

• Aspiration of the cyst to relieve pressure and pain.
• Wrist splinting to immobilize the area.
• Corticosteroid injections to reduce inflammation.
• Physical therapy to strengthen the wrist.

Home Care Tips

Patients can follow these tips for better recovery.

• Apply ice packs to reduce swelling in the first 48 hours.
• Elevate the wrist to minimize swelling.
• Avoid heavy lifting or strenuous activities until cleared by the doctor.
• Monitor for signs of infection such as increased redness or discharge.

Patient Education & Prevention

Educating patients can help prevent recurrence.

• Avoid repetitive wrist movements when possible.
• Engage in wrist-strengthening exercises.
• Seek early treatment for wrist injuries.
• Regular check-ups if prone to ganglion cysts.

Billing and Coding Information

CPT Code: 25100

Category: Surgery

Common Modifiers:

• -50
• -RT
• -LT

Average Cost and Insurance Coverage

Costs can vary based on location and insurance.

• Average cost ranges from $1,500 to $3,000.
• Insurance may cover the procedure if deemed medically necessary.
• Out-of-pocket costs depend on the patient's insurance plan.

Related CPT Codes

• 25101 - Excision of Ganglion Cyst, Wrist
• 25105 - Excision of Ganglion Cyst, Wrist
• 25100 - Excision of Ganglion Cyst, Wrist