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Overview of CPT Code 25350: Excision of Forearm Tumor

Overview of CPT Code 25350: Excision of Forearm Tumor

CPT Code 25350 refers to the surgical excision of a tumor located in the forearm. This procedure is performed to remove benign or malignant growths, ensuring that any potentially harmful tissue is eliminated.

When CPT Code 25350 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.
  • Changes in skin color or texture over the tumor.
  • Limited range of motion or weakness in the forearm.

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 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 guide the decision for surgery.

  • 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 around the tumor.
  • An incision is made over the tumor to access and remove it.
  • Surrounding healthy tissue may also be excised to ensure complete removal.
  • 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 surgery.

  • Avoid eating or drinking for at least 6 hours before the procedure.
  • Discuss any medications with your doctor, especially blood thinners.
  • Arrange for transportation to and from the procedure.
  • Wear loose-fitting clothing to allow easy access to the forearm.

Recovery and Aftercare

Post-operative care is crucial for healing.

  • Rest for the first few days following the procedure.
  • Keep the surgical site clean and dry; follow 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.

  • 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

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

  • 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

Patients can take steps at home to aid recovery.

  • Keep the surgical area clean and dry.
  • Avoid strenuous activities that may strain the forearm.
  • Apply ice packs to reduce swelling if recommended.
  • Follow all post-operative instructions provided by your healthcare team.

Patient Education & Prevention

Education is key to prevention and early detection.

  • Regular skin checks for new or changing growths.
  • Sun protection to reduce the risk of skin tumors.
  • Awareness of family history of tumors or cancers.
  • Prompt evaluation of any new lumps or changes in the forearm.

Billing and Coding Information

CPT Code: 25350

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 complexity.
  • Insurance typically covers the procedure if deemed medically necessary.
  • Out-of-pocket costs may apply depending on the insurance plan.

Frequently Asked Questions (FAQs)

What is the purpose of the excision?

The excision aims to remove a tumor that may be benign or malignant.

How long is the recovery period?

Most patients recover within 1 to 2 weeks, depending on individual healing.

Will there be scarring after the procedure?

Some scarring is possible, but it often fades over time.

Can I drive after the procedure?

You should avoid driving until cleared by your doctor, especially if anesthesia was used.

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