Overview of CPT Code 25105:Excision of Ganglion Cyst, Wrist

Overview of CPT Code 25105:Excision of Ganglion Cyst, Wrist

CPT Code 25105 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 25105 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 impairment.
• Cyst causing pressure on surrounding nerves or tissues.
• 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 tenderness in the area of the cyst.
• Weakness or numbness in the hand.
• Difficulty in wrist movement or gripping objects.

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 conducted to confirm the diagnosis and plan the procedure.

• Physical examination to assess the cyst.
• Ultrasound imaging to evaluate the cyst's characteristics.
• MRI if deeper structures need to be assessed.

Procedure Description

The excision procedure involves several key steps.

• Administer local anesthesia to numb the area.
• Make a small incision over the cyst.
• Carefully excise the cyst and its stalk from the surrounding tissue.
• Suture the incision site to promote healing.

Preparation for the Procedure

Patients should follow specific guidelines to prepare for the surgery.

• Avoid blood thinners or anti-inflammatory medications prior to surgery.
• Discuss any allergies or medical conditions with the surgeon.
• Arrange for transportation home post-procedure.

Recovery and Aftercare

Post-operative care is crucial for a smooth recovery.

• Rest the wrist and avoid strenuous activities for several weeks.
• Keep the incision clean and dry.
• Follow up with the surgeon for suture removal and assessment.
• Use prescribed pain medications as needed.

Possible Complications

While generally safe, there are potential risks associated with the procedure.

• Infection at the incision site.
• Nerve damage leading to numbness or weakness.
• Recurrence of the ganglion cyst.
• Scarring or changes in skin sensation.

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Post-Procedure Follow-Up

Regular follow-up is essential to monitor recovery.

• Initial follow-up within 1-2 weeks for suture removal.
• Further assessments at 4-6 weeks to evaluate healing.
• Long-term follow-up if symptoms recur.

Alternative Treatments

There are non-surgical options available for managing ganglion cysts.

• Aspiration of the cyst to relieve pressure.
• Wrist splinting to limit movement and reduce symptoms.
• Physical therapy to strengthen the wrist.

Home Care Tips

Patients can take several steps at home to aid recovery.

• Apply ice to the wrist to reduce swelling.
• Elevate the wrist to minimize discomfort.
• Avoid heavy lifting or repetitive wrist motions.

Patient Education & Prevention

Educating patients can help prevent recurrence.

• Avoid repetitive wrist activities when possible.
• Strengthen wrist muscles through exercises.
• Seek early treatment for wrist injuries.

Billing and Coding Information

CPT Code: 25105

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 $1,500 to $3,000.
• Insurance may cover the procedure if deemed medically necessary.
• Out-of-pocket costs depend on the insurance plan.

Related CPT Codes

• 25101 - Excision of Ganglion Cyst, Wrist