Overview of CPT Code 25107: Excision of wrist ganglion cyst
CPT Code 25107 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 25107 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.
- A visible lump on the wrist that may fluctuate in size.
- Pain or discomfort in the wrist, especially during movement.
- Numbness or tingling in the fingers if the cyst compresses nerves.
- Limited range of motion in the wrist due to the cyst.
Causes and Risk Factors
Understanding the causes and risk factors can help in prevention.
- Repetitive wrist movements or overuse.
- Previous wrist injuries or trauma.
- Genetic predisposition to developing cysts.
- Certain occupations that involve repetitive wrist strain.
Diagnostic Tests Before Procedure
Several diagnostic tests may be performed to confirm the diagnosis.
- Physical examination to assess the cyst's characteristics.
- Ultrasound imaging to visualize the cyst and surrounding structures.
- MRI may be used in complex cases to evaluate the cyst's relationship with nearby tissues.
Procedure Description
The excision procedure involves several key steps.
- The patient is positioned comfortably, and the wrist is cleaned and sterilized.
- Local anesthesia is administered to numb the area around the cyst.
- An incision is made over the cyst to access it.
- The cyst is carefully excised along with its stalk to minimize the chance of recurrence.
- The incision is closed with sutures, and a sterile dressing is applied.
Preparation for the Procedure
Proper preparation is essential for a successful procedure.
- Avoid blood-thinning medications as advised by your doctor.
- Inform your doctor about any allergies or medical conditions.
- Arrange for someone to drive you home post-procedure.
- Follow any specific fasting instructions if sedation is planned.
Recovery and Aftercare
Post-operative care is crucial for healing.
- Rest the wrist and avoid strenuous activities for a few weeks.
- Keep the surgical site clean and dry; follow wound care instructions.
- Pain relief medications may be prescribed as needed.
- Attend follow-up appointments to monitor healing and remove sutures.
Possible Complications
While complications are rare, they can occur.
- Infection at the surgical site.
- Scarring or changes in skin sensation.
- Recurrence of the ganglion cyst.
- Nerve damage leading to persistent pain or numbness.
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Post-Procedure Follow-Up
Follow-up care is important for recovery.
- Initial follow-up within 1-2 weeks to check the surgical site.
- Further follow-ups may be scheduled based on healing progress.
- Report any unusual symptoms such as increased pain or swelling immediately.
Alternative Treatments
There are non-surgical options available.
- Aspiration of the cyst to relieve pressure and pain.
- Wrist splinting to immobilize the area and reduce symptoms.
- Physical therapy to strengthen the wrist and improve function.
- Observation if the cyst is not causing significant issues.
Home Care Tips
Simple tips can aid in recovery.
- Keep the wrist elevated to reduce swelling.
- Apply ice packs to the area to alleviate pain and inflammation.
- Follow a balanced diet to support healing.
- Avoid heavy lifting or strenuous activities until cleared by your doctor.
Patient Education & Prevention
Education can help prevent recurrence.
- Understand the importance of wrist ergonomics in daily activities.
- Engage in wrist-strengthening exercises as recommended.
- Avoid repetitive strain on the wrist when possible.
- Seek early treatment for wrist injuries to prevent complications.
Billing and Coding Information
CPT Code: 25107
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 depending on facility and location.
- Most insurance plans cover the procedure if deemed medically necessary.
- Out-of-pocket costs may apply depending on the insurance plan.
Related CPT Codes
Frequently Asked Questions (FAQs)
What is a ganglion cyst?
A ganglion cyst is a noncancerous lump filled with fluid that typically forms near joints or tendons.
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 return to normal activities within a few weeks, but full recovery may take longer.
Will the cyst come back after surgery?
While recurrence is possible, excising the cyst completely reduces the likelihood of it returning.
