Overview of CPT Code 25335: Excision of forearm tumor
CPT Code 25335 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 25335 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 have changed in size or appearance.
- 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 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 prevention and 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 before excision.
- 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 several hours before the procedure if sedation is planned.
- Discuss any medications with the healthcare provider, especially blood thinners.
- Arrange for transportation home post-procedure if sedation is used.
- Wear loose-fitting clothing to allow easy access to the forearm.
Recovery and Aftercare
Post-procedure recovery 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.
- Initial follow-up within 1-2 weeks to assess healing and remove sutures.
- Additional follow-ups may be scheduled based on pathology results.
- Regular monitoring for any signs of recurrence or complications.
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 when surgery is not an option.
Home Care Tips
Patients can take steps to aid their recovery at home.
- Keep the surgical area clean and dry.
- Monitor for signs of infection, such as increased redness or discharge.
- Avoid soaking the wound in water until cleared by a healthcare provider.
- Follow a balanced diet to support healing.
Patient Education & Prevention
Education is key to preventing recurrence.
- Regular skin checks for new or changing lesions.
- Sun protection to reduce the risk of skin tumors.
- Awareness of family history of skin cancer or tumors.
- Prompt evaluation of any new lumps or changes in existing ones.
Billing and Coding Information
CPT Code: 25335
Category: Surgical Procedures
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 typically covers the procedure if deemed medically necessary.
- Out-of-pocket costs may vary based on individual insurance plans.
Related CPT Codes
Frequently Asked Questions (FAQs)
What is the purpose of the excision?
The excision aims to remove the tumor and prevent recurrence.
Will I need anesthesia?
Yes, local anesthesia is typically used to numb the area.
How long is the recovery period?
Most patients recover within 1-2 weeks.
Are there any risks involved?
As with any surgery, there are risks such as infection or bleeding.
