Overview of CPT Code 25250: Excision of Forearm Tumor

Overview of CPT Code 25250: Excision of Forearm Tumor

CPT Code 25250 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.

When CPT Code 25250 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.
• Limited range of motion in the forearm.
• Changes in skin color or texture over the tumor.

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.
• Exposure to radiation or carcinogenic substances.
• Chronic inflammation or irritation in the forearm area.

Diagnostic Tests Before Procedure

Several diagnostic tests may be conducted to confirm the need for excision.

• Ultrasound imaging to assess 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 or 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.
• 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 procedure.

• Avoid eating or drinking for at least 6 hours before the procedure if sedation is planned.
• Discuss any medications with your doctor, especially blood thinners.
• Arrange for transportation home post-procedure.
• 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 incision 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 incision site.
• Excessive bleeding during or after the procedure.
• 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 if a biopsy was performed.
• Plan for any additional treatments if malignancy is confirmed.

Alternative Treatments

There are non-surgical options available for some patients.

• Observation for benign tumors that are not causing symptoms.
• Cryotherapy to freeze and destroy abnormal tissue.
• Radiation therapy for certain types of malignant tumors.
• Medications to manage symptoms or slow tumor growth.

Home Care Tips

Simple tips can aid in recovery at home.

• Keep the surgical area clean and dry.
• Avoid soaking the incision in water until cleared by your doctor.
• Use ice packs to reduce swelling and discomfort.
• 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.
• Awareness of family history regarding tumors.
• Prompt evaluation of any new lumps or changes in the forearm.

Billing and Coding Information

CPT Code: 25250

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 complexity.
• Most insurance plans cover the procedure if deemed medically necessary.
• Out-of-pocket costs may apply depending on the insurance plan.

Related CPT Codes

• 25260 - Excision of forearm tumor