Overview of CPT Code 25310: Excision of Ganglion Cyst, Forearm
CPT Code 25310 refers to the surgical excision of a ganglion cyst located on the forearm. Ganglion cysts are noncancerous lumps that typically develop along the tendons or joints of the wrists and hands, and they can cause discomfort or restrict movement.
When CPT Code 25310 is Used?
This procedure is indicated in various clinical scenarios.
- Persistent pain or discomfort caused by the ganglion cyst.
- Cyst size increasing or causing cosmetic concerns.
- Limited range of motion in the wrist or hand due to the cyst.
- Cyst causing nerve compression symptoms, such as tingling or numbness.
Symptoms Indicating This Procedure
Patients may report several symptoms that lead to the consideration of this procedure.
- A noticeable lump on the forearm.
- Pain or tenderness in the area of the cyst.
- Swelling that may fluctuate in size.
- Difficulty moving the wrist or fingers.
Causes and Risk Factors
Understanding the causes and risk factors can help in prevention and management.
- Repetitive wrist movements or overuse.
- Previous injury to the wrist or forearm.
- Certain occupations that involve repetitive hand use.
- Genetic predisposition to developing cysts.
Diagnostic Tests Before Procedure
Several diagnostic tests may be performed to confirm the diagnosis.
- Physical examination to assess the cyst.
- Ultrasound imaging to visualize the cyst and surrounding structures.
- MRI may be used in complex cases to evaluate the cyst's relationship with nearby tissues.
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 cyst.
- An incision is made over the cyst to access it.
- The cyst is carefully excised along with its stalk to minimize the chance of recurrence.
- The incision is closed with sutures, and a sterile dressing is applied.
Preparation for the Procedure
Proper preparation is essential for a successful procedure.
- Avoid blood thinners and anti-inflammatory medications a few days before surgery.
- Discuss any allergies or medical conditions with the surgeon.
- Arrange for transportation home post-procedure, as anesthesia may impair your ability to drive.
Recovery and Aftercare
Post-operative care is crucial for healing.
- Rest the affected arm and avoid strenuous activities for at least a week.
- Keep the incision clean and dry; follow specific wound care instructions.
- Pain relief medications may be prescribed 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.
- Scarring or changes in skin sensation.
- Recurrence of the ganglion cyst.
- Nerve or blood vessel damage during the procedure.
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Post-Procedure Follow-Up
Follow-up care is important for assessing recovery.
- A follow-up appointment is typically scheduled within 1-2 weeks post-surgery.
- Monitor for signs of infection or complications during recovery.
- Further evaluation may be needed if symptoms persist or recur.
Alternative Treatments
Non-surgical options may be considered before excision.
- Observation if the cyst is not causing significant symptoms.
- Aspiration of the cyst to relieve pressure and discomfort.
- Physical therapy to strengthen the wrist and improve function.
Home Care Tips
Simple home care can aid in recovery.
- Apply ice packs to reduce swelling in the first 48 hours.
- Keep the arm elevated to minimize swelling.
- Follow a balanced diet to support healing.
Patient Education & Prevention
Educating patients can help prevent recurrence.
- Avoid repetitive wrist movements when possible.
- Use ergonomic tools to reduce strain on the wrist.
- Seek early treatment for wrist injuries to prevent complications.
Billing and Coding Information
CPT Code: 25310
Category: Surgery
Common Modifiers:
- 50 - Bilateral procedure
- RT - Right side
- LT - Left side
Average Cost and Insurance Coverage
Costs can vary based on several factors.
- The average cost of the procedure ranges from $1,500 to $3,000.
- Insurance may cover the procedure if deemed medically necessary.
- Patients should verify coverage with their insurance provider prior to surgery.
Related CPT Codes
Frequently Asked Questions (FAQs)
What is a ganglion cyst?
A ganglion cyst is a fluid-filled sac that forms near joints or tendons, often in the wrist or hand.
Is the excision procedure painful?
Local anesthesia is used to minimize pain during the procedure, and discomfort afterward can be managed with medication.
How long does recovery take?
Most patients can return to normal activities within a few weeks, but full recovery may take longer.
Will the cyst come back after surgery?
While excision reduces the chance of recurrence, it is still possible for the cyst to return.
