Overview of CPT Code 25230: Excision of forearm tumor
CPT Code 25230 refers to the surgical excision of a tumor located in the forearm. This procedure is performed to remove benign or malignant growths, ensuring that surrounding healthy tissue is preserved as much as possible.
When CPT Code 25230 is Used?
This procedure is indicated in various clinical scenarios.
- Presence of a palpable tumor in the forearm.
- Suspicion of malignancy based on imaging or biopsy results.
- Tumors causing pain or functional impairment.
- Cosmetic concerns regarding the appearance of the tumor.
Symptoms Indicating This Procedure
Patients may report several symptoms that lead to the consideration of this procedure.
- A noticeable lump or mass in the forearm.
- Pain or tenderness in the area of the tumor.
- Swelling or changes in skin texture over the tumor.
- Limited range of motion or functional difficulties.
Causes and Risk Factors
Understanding the causes and risk factors can help in prevention and early detection.
- Genetic predisposition to certain tumors.
- Previous history of skin cancer or other malignancies.
- Exposure to radiation or carcinogenic substances.
- Chronic inflammation or irritation in the forearm area.
Diagnostic Tests Before Procedure
Several diagnostic tests may be performed to guide the decision for surgery.
- Ultrasound imaging to assess the size and characteristics of the tumor.
- MRI for detailed imaging of soft tissue structures.
- Biopsy to determine the nature of the tumor (benign vs malignant).
- Blood tests to check for markers of malignancy.
Procedure Description
The excision procedure involves several key steps.
- Patient is positioned comfortably and the forearm is cleaned and draped.
- Local anesthesia is administered to numb the area.
- An incision is made over the tumor to access it.
- The tumor is carefully excised along with a margin of healthy tissue.
- The incision is closed with sutures or staples, and a sterile dressing is applied.
Preparation for the Procedure
Proper preparation is essential for a successful outcome.
- Avoid blood thinners and certain medications as advised by the physician.
- Inform the doctor about any allergies or medical conditions.
- Arrange for transportation to and from the procedure.
- Follow fasting instructions if sedation is planned.
Recovery and Aftercare
Post-operative care is crucial for healing.
- Rest for the first few days following the procedure.
- Keep the surgical site clean and dry.
- Change dressings as instructed by the healthcare provider.
- Take prescribed pain medications as needed.
Possible Complications
While complications are rare, they can occur.
- Infection at the surgical site.
- Excessive bleeding or hematoma formation.
- Scarring or changes in skin sensation.
- Recurrence of the tumor if not completely excised.
Secure, compliant, and built for trust
HIPAA-compliant and designed with privacy in mind, your patient’s data is protected. Focus on care while we safeguard your information.
Learn more
Post-Procedure Follow-Up
Follow-up appointments are important for monitoring recovery.
- Initial follow-up within one week to assess healing.
- Further follow-ups as needed based on pathology results.
- Regular monitoring for any signs of recurrence.
Alternative Treatments
In some cases, non-surgical options may be considered.
- Observation for benign tumors without symptoms.
- Cryotherapy for superficial lesions.
- Radiation therapy for certain malignant tumors.
- Medications for pain management.
Home Care Tips
Patients can take several steps to aid recovery at home.
- Keep the surgical area clean and dry.
- Avoid strenuous activities that may stress the forearm.
- Monitor for signs of infection, such as increased redness or discharge.
- Follow all post-operative instructions provided by the healthcare team.
Patient Education & Prevention
Education is key to preventing future issues.
- Regular skin checks for new or changing lesions.
- Sun protection to reduce skin cancer risk.
- Awareness of family history regarding tumors.
- Prompt evaluation of any new lumps or changes in the forearm.
Billing and Coding Information
CPT Code: 25230
Category: Surgical Procedures
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 typically covers the procedure if deemed medically necessary.
- Out-of-pocket costs depend on the patient's insurance plan.
Frequently Asked Questions (FAQs)
What is the purpose of the excision?
The excision aims to remove the tumor and prevent potential complications.
How long does the procedure take?
The procedure typically takes about 30 to 60 minutes.
Will I have a scar after the surgery?
Some scarring is expected, but it usually fades over time.
Can I return to normal activities after the procedure?
You should avoid strenuous activities for a few weeks as you heal.
