Overview of CPT Code 25240: Excision of forearm tumor

Overview of CPT Code 25240: Excision of forearm tumor

CPT Code 25240 refers to the surgical excision of a tumor located in the forearm. This procedure is performed to remove benign or malignant growths, ensuring complete removal to prevent recurrence and to facilitate further pathological examination.

When CPT Code 25240 is Used?

This procedure is indicated in various clinical scenarios.

• Presence of a palpable tumor in the forearm that is suspected to be malignant.
• Benign tumors causing pain or functional impairment.
• Tumors that are growing or changing in appearance.
• Need for a definitive diagnosis through histopathological examination.

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 discomfort in the area of the tumor.
• Changes in skin color or texture over the tumor.
• Limited range of motion or functional impairment of the forearm.

Causes and Risk Factors

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

• Genetic predisposition to certain types of 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 assess the tumor.

• Ultrasound imaging to evaluate the size and characteristics of the tumor.
• MRI or CT scans for detailed imaging of the tumor and surrounding tissues.
• Biopsy to determine the nature of the tumor (benign vs malignant).
• Blood tests to check for markers associated with certain tumors.

Procedure Description

The excision procedure involves several key steps.

• Patient is positioned comfortably and the forearm is cleaned and sterilized.
• Local anesthesia is administered to numb the area around the tumor.
• An incision is made over the tumor to access and remove it.
• The tumor is 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 procedure.

• Avoid eating or drinking for at least 6 hours before the procedure if sedation is planned.
• Inform the surgeon about any medications, allergies, or medical conditions.
• Arrange for transportation home post-procedure due to potential sedation effects.
• Wear loose-fitting clothing to allow easy access to the forearm.

Recovery and Aftercare

Post-procedure care is crucial for healing.

• Rest the arm and avoid strenuous activities for at least a week.
• Keep the surgical site clean and dry; follow specific wound care instructions.
• Take prescribed pain medications as needed.
• Attend follow-up appointments to monitor healing and remove sutures if necessary.

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.

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Post-Procedure Follow-Up

Follow-up care is important for monitoring recovery.

• Schedule a follow-up visit within 1-2 weeks post-surgery.
• Monitor for signs of infection or complications.
• Discuss pathology results and any further treatment if necessary.
• Regular check-ups may be needed based on the tumor type.

Alternative Treatments

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

• Observation for small, asymptomatic tumors.
• Cryotherapy for superficial benign tumors.
• Radiation therapy for certain malignant tumors.
• Medications for pain management or to shrink tumors.

Home Care Tips

Patients can follow these tips for better recovery.

• Keep the surgical area clean and dry.
• Avoid soaking the wound in water until cleared by the doctor.
• Monitor for any signs of infection, such as increased redness or discharge.
• Follow a balanced diet to support healing.

Patient Education & Prevention

Education can help prevent recurrence and promote health.

• Regular skin checks for new or changing lesions.
• Sun protection to reduce skin cancer risk.
• Healthy lifestyle choices to support overall health.
• Promptly report any new symptoms or changes to a healthcare provider.

Billing and Coding Information

CPT Code: 25240

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 complexity.
• Insurance may cover the procedure if deemed medically necessary.
• Out-of-pocket costs depend on the patient's insurance plan and deductible.