Overview of CPT Code 25355: Excision of Forearm Tumor

CPT Code 25355 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 cancerous cells are eliminated and preventing further complications.

When CPT Code 25355 is Used?

This procedure is indicated in various clinical scenarios.

Presence of a palpable tumor in the forearm that requires removal.
Suspicion of malignancy based on imaging or biopsy results.
Tumors causing pain, discomfort, or functional impairment.
Cosmetic concerns regarding the appearance of the forearm.

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.
Swelling or inflammation around 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 conducted to confirm the need for excision.

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 tissue may be excised to ensure complete removal of the tumor.
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.

Consult with the surgeon about any medications you are taking.
Avoid blood thinners and certain supplements as advised by your doctor.
Arrive at the facility with a responsible adult to assist post-procedure.
Follow any fasting instructions if sedation is planned.

Recovery and Aftercare

Post-procedure care is crucial for healing.

Rest for the first few days and avoid strenuous activities.
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 any signs of infection or complications.
Discuss pathology results if a biopsy was performed.
Plan for further treatment if malignancy is confirmed.

Alternative Treatments

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

Observation for benign tumors that are not causing symptoms.
Radiation therapy for certain types of malignant tumors.
Cryotherapy or laser therapy for superficial skin tumors.

Home Care Tips

Simple home care can aid in recovery.

Keep the incision site clean and dry.
Avoid soaking the area in water until cleared by your doctor.
Monitor for signs of infection, such as increased redness or discharge.
Follow a balanced diet to support healing.

Patient Education & Prevention

Education is key to prevention and early detection.

Regular skin checks for new or changing moles or lumps.
Sun protection to reduce skin cancer risk.
Awareness of family history of tumors and discussing with a healthcare provider.
Prompt evaluation of any new growths or changes in existing lesions.