Overview of CPT Code 25280: Excision of forearm tumor

Overview of CPT Code 25280: Excision of forearm tumor

CPT Code 25280 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 25280 is Used?

This procedure is indicated in various clinical scenarios, including:

• Presence of a palpable tumor in the forearm that is suspected to be malignant.
• Removal of a benign tumor causing discomfort or functional impairment.
• Tumors that have changed in size, shape, or color, warranting further investigation.
• Tumors that are symptomatic, such as causing pain or restricted movement.

Symptoms Indicating This Procedure

Patients may report the following symptoms that could lead to the need for this procedure:

• A noticeable lump or mass in the forearm.
• Pain or tenderness in the area of the tumor.
• Swelling or inflammation around the tumor.
• Changes in skin color or texture over the tumor.

Causes and Risk Factors

Several factors may contribute to the development of tumors in the forearm:

• 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

Before proceeding with the excision, several diagnostic tests may be conducted:

• 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 types of tumors.

Procedure Description

The excision procedure typically follows these steps:

• Patient is positioned comfortably, and the area 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.
• Surrounding tissue may be examined to ensure complete removal.
• The incision is closed with sutures or staples, and a sterile dressing is applied.

Preparation for the Procedure

Patients should follow these steps to prepare for the excision:

• Consult with the surgeon about any medications being taken.
• Avoid blood thinners or anti-inflammatory medications as advised.
• Arrive at the facility with a responsible adult for post-procedure transport.
• Wear loose-fitting clothing to allow easy access to the forearm.

Recovery and Aftercare

Post-procedure recovery typically involves:

• Resting the arm and avoiding strenuous activities for a few days.
• Keeping the surgical site clean and dry, following care instructions.
• Taking prescribed pain medications as needed.
• Monitoring for signs of infection, such as increased redness or discharge.

Possible Complications

While generally safe, this procedure carries some risks, including:

• 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 care is essential for monitoring recovery:

• Schedule a follow-up appointment within 1-2 weeks post-surgery.
• Remove sutures or staples as directed by the healthcare provider.
• Discuss pathology results if a biopsy was performed.
• Monitor for any delayed complications or concerns.

Alternative Treatments

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

• Observation for small, asymptomatic tumors.
• 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

Patients can follow these tips for effective home care:

• Keep the surgical area clean and dry.
• Avoid soaking the area in water until cleared by the doctor.
• Apply ice packs to reduce swelling as needed.
• Follow dietary recommendations to support healing.

Patient Education & Prevention

Educating patients on prevention and recurrence is vital:

• 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 in existing tumors.

Billing and Coding Information

CPT Code: 25280

Category: Surgery

Common Modifiers:

• 50 - Bilateral procedure
• 59 - Distinct procedural service

Average Cost and Insurance Coverage

The cost of the procedure can vary widely:

• Average cost ranges from $1,500 to $4,000 depending on complexity.
• Insurance may cover the procedure if deemed medically necessary.
• Patients should verify coverage with their insurance provider.