Overview of CPT Code 25109: Excision of wrist tumor

Overview of CPT Code 25109: Excision of wrist tumor

CPT Code 25109 refers to the surgical excision of a tumor located in the wrist area. This procedure is performed to remove benign or malignant growths that may cause pain, discomfort, or functional impairment.

When CPT Code 25109 is Used?

This procedure is indicated in various clinical scenarios.

• Presence of a palpable tumor in the wrist that is suspected to be malignant.
• Benign tumors causing pain or functional limitations.
• Tumors that are growing or changing in appearance.
• Tumors that are symptomatic, such as causing nerve compression.

Symptoms Indicating This Procedure

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

• Pain or tenderness in the wrist area.
• Visible swelling or mass in the wrist.
• Limited range of motion in the wrist.
• Numbness or tingling in the fingers.

Causes and Risk Factors

Understanding the causes and risk factors can help in prevention and early detection.

• Genetic predisposition to tumors.
• Previous history of tumors in the wrist or surrounding areas.
• Occupational exposure to carcinogens.
• Chronic irritation or trauma to the wrist.

Diagnostic Tests Before Procedure

Several diagnostic tests may be performed to assess the tumor before excision.

• MRI or CT scan to evaluate the size and extent of the tumor.
• Ultrasound to assess the characteristics of the tumor.
• Biopsy to determine the nature of the tumor (benign or malignant).
• X-rays to check for any bone involvement.

Procedure Description

The excision procedure involves several key steps.

• Patient is positioned comfortably and the wrist is cleaned and draped.
• Local anesthesia is administered to numb the area.
• An incision is made over the tumor site.
• The tumor is carefully excised along with a margin of healthy tissue.
• The incision is closed with sutures or staples.
• A sterile dressing is applied to the wound.

Preparation for the Procedure

Proper preparation is essential for a successful procedure.

• Avoid eating or drinking for at least 6 hours before the procedure.
• Discuss any medications with your doctor, especially blood thinners.
• Arrange for someone to drive you home post-procedure.
• Wear loose-fitting clothing to the appointment.

Recovery and Aftercare

Post-operative care is crucial for healing.

• Rest the wrist and avoid strenuous activities for at least 2 weeks.
• Keep the incision site clean and dry.
• Change the dressing as instructed by your healthcare provider.
• Take prescribed pain medications as needed.

Possible Complications

While complications are rare, they can occur.

• Infection at the incision site.
• Excessive bleeding during or after the procedure.
• Nerve damage leading to numbness or weakness.
• Recurrence of the tumor.

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Post-Procedure Follow-Up

Follow-up appointments are important for monitoring recovery.

• Schedule a follow-up visit within 1-2 weeks post-surgery.
• Monitor for any signs of infection or complications.
• Discuss pathology results if a biopsy was performed.
• Plan for physical therapy if needed.

Alternative Treatments

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

• Observation for small, asymptomatic tumors.
• Corticosteroid injections to reduce inflammation.
• Physical therapy to improve function without surgery.
• Cryotherapy for certain benign tumors.

Home Care Tips

Simple home care can aid in recovery.

• Apply ice to the wrist to reduce swelling.
• Elevate the wrist to minimize discomfort.
• Avoid soaking the incision in water until healed.
• Follow all post-operative instructions from your healthcare provider.

Patient Education & Prevention

Education is key to preventing recurrence.

• Regular self-examinations of the wrist for new growths.
• Report any changes in existing tumors to your doctor.
• Maintain a healthy lifestyle to reduce cancer risk.
• Stay informed about your family history of tumors.

Billing and Coding Information

CPT Code: 25109

Category: Surgery

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 $2,000 to $5,000.
• Insurance may cover the procedure if deemed medically necessary.
• Out-of-pocket costs depend on the insurance plan and deductible.

Related CPT Codes

• 25107 - Excision of wrist ganglion cyst