Overview of CPT Code 25110:excision-of-ganglion-cyst-wrist
CPT Code 25110 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 25110 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.
- Arthritis or joint conditions.
- Genetic predisposition to developing cysts.
Diagnostic Tests Before Procedure
Certain tests may be conducted 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 joint involvement.
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 surgery.
- Avoid blood thinners and anti-inflammatory medications as advised.
- Arrange for transportation to and from the procedure.
- Discuss any allergies or medical conditions with the surgeon.
- Follow fasting instructions if sedation is planned.
Recovery and Aftercare
Post-operative care is crucial for healing.
- Rest the wrist and avoid strenuous activities for several weeks.
- Keep the surgical site clean and dry; follow wound care instructions.
- Pain management with prescribed medications as needed.
- Attend follow-up appointments to monitor healing.
Possible Complications
While generally safe, there are potential risks.
- 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
Regular follow-up is essential for recovery.
- Initial follow-up within 1-2 weeks to check the incision.
- Further assessments at 4-6 weeks to evaluate healing.
- Long-term follow-up if symptoms persist or recur.
Alternative Treatments
Non-surgical options may be considered.
- Aspiration of the cyst to relieve pressure and pain.
- Wrist splinting to immobilize the area.
- Corticosteroid injections to reduce inflammation.
- Physical therapy to strengthen wrist muscles.
Home Care Tips
Simple tips for post-operative care at home.
- Keep the wrist elevated to reduce swelling.
- Apply ice packs to the area to manage pain.
- Avoid soaking the wrist in water until fully healed.
- Monitor for signs of infection such as increased redness or discharge.
Patient Education & Prevention
Education is key to preventing recurrence.
- Avoid repetitive wrist movements when possible.
- Strengthen wrist muscles through exercises.
- Seek early treatment for wrist injuries.
- Regular check-ups if prone to ganglion cysts.
Billing and Coding Information
CPT Code: 25110
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 $1,500 to $3,000.
- Insurance may cover the procedure if deemed medically necessary.
- Out-of-pocket costs depend on the insurance plan and deductible.
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 on the wrist or hand.
Is the excision procedure painful?
Local anesthesia is used, so you should not feel pain during the procedure.
How long does recovery take?
Most patients can return to normal activities within 4-6 weeks after surgery.
Will the cyst come back after surgery?
While recurrence is possible, complete excision reduces the likelihood.
