Overview of CPT Code 25265: Excision of forearm soft tissue tumor
CPT Code 25265 refers to the surgical excision of a soft tissue tumor located in the forearm. This procedure is performed to remove tumors that may be benign or malignant, ensuring that surrounding healthy tissue is preserved as much as possible.
When CPT Code 25265 is Used?
This procedure is indicated in various clinical scenarios.
- Presence of a palpable soft tissue tumor in the forearm.
- Suspicion of malignancy based on imaging or physical examination.
- Tumors causing pain or functional impairment.
- Need for 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 tenderness in the area of the tumor.
- Limited range of motion or functional impairment.
- Changes in skin color or texture over the tumor.
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 tumors or cancers.
- Exposure to radiation or carcinogenic substances.
- Age and gender, as some tumors are more common in specific demographics.
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 scans for detailed imaging of soft tissue structures.
- Biopsy to obtain tissue samples for histological examination.
- Blood tests to check for markers of malignancy.
Procedure Description
The excision procedure follows a systematic approach.
- 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 the soft tissue.
- 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 eating or drinking for at least 6 hours before the procedure.
- 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-operative 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 dressing change instructions.
- Take prescribed pain medications as needed.
- Attend follow-up appointments for suture removal and monitoring.
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.
- Initial follow-up within 1-2 weeks for suture removal.
- Regular check-ups to monitor for any signs of recurrence.
- Additional imaging or tests if malignancy was suspected.
Alternative Treatments
In some cases, non-surgical options may be considered.
- Observation for benign tumors without symptoms.
- Radiation therapy for certain types of malignant tumors.
- Chemotherapy for systemic treatment of malignancies.
Home Care Tips
Simple tips can aid in recovery at home.
- Keep the surgical area clean and dry.
- Monitor for signs of infection such as increased redness or swelling.
- Apply ice packs to reduce swelling in the first 48 hours.
- Follow a balanced diet to support healing.
Patient Education & Prevention
Education can help in early detection and prevention.
- Regular self-examinations for any new lumps or changes.
- Awareness of family history of tumors.
- Promptly report any unusual symptoms to a healthcare provider.
- Maintain a healthy lifestyle to reduce cancer risk.
Billing and Coding Information
CPT Code: 25265
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.
- Insurance may cover the procedure if deemed medically necessary.
- Out-of-pocket costs depend on the patient's insurance plan.
Related CPT Codes
- 25260 - Excision of forearm tumor
Frequently Asked Questions (FAQs)
What is the purpose of this procedure?
The procedure aims to remove a soft tissue tumor for diagnosis or treatment.
How long does the recovery take?
Most patients recover within 1 to 2 weeks.
Will there be scarring?
Some scarring is possible, but it usually fades over time.
Is this procedure painful?
Local anesthesia is used, so discomfort is minimal during the procedure.
