Overview of CPT Code 25360: Excision of Forearm Tumor
CPT Code 25360 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 25360 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 functional difficulties.
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 for detailed imaging of soft tissue tumors.
- Biopsy to determine the nature of the tumor (benign vs malignant).
- Blood tests to check for markers of malignancy.
Procedure Description
The excision procedure involves several key steps.
- Patient is positioned comfortably and the forearm is cleaned and draped.
- Local anesthesia is administered to numb the area.
- An incision is made over the tumor to access the tissue.
- The tumor is carefully 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 outcome.
- Avoid blood thinners and certain medications as advised by the physician.
- Fast for a specified period if general anesthesia is planned.
- Arrange for transportation to and from the procedure.
- Discuss any allergies or medical conditions with the healthcare provider.
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, changing dressings as instructed.
- Take prescribed pain medications as needed.
- Attend follow-up appointments for suture removal and monitoring.
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 for suture removal.
- Regular check-ups to monitor for any signs of recurrence.
- Additional imaging or tests if malignancy was suspected.
Alternative Treatments
In some cases, non-surgical options may be considered.
- Observation for benign tumors without symptoms.
- Cryotherapy for superficial skin tumors.
- Radiation therapy for certain malignant tumors.
- Medications for pain management or inflammation.
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.
- Monitor for signs of infection, such as increased redness or discharge.
- Follow dietary recommendations to support healing.
Patient Education & Prevention
Education is key to preventing recurrence.
- Regular skin checks for new or changing lesions.
- Sun protection to reduce skin cancer risk.
- Awareness of family history of tumors.
- Prompt evaluation of any new lumps or changes in the forearm.
Billing and Coding Information
CPT Code: 25360
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.
Related CPT Codes
- 25390 - Excision of Forearm Tumor
Frequently Asked Questions (FAQs)
What is the purpose of the excision?
The excision aims to remove the tumor and prevent recurrence.
How long is the recovery period?
Most patients recover within 1 to 2 weeks.
Will there be scarring?
Some scarring is possible, but it often fades over time.
Is this procedure painful?
Local anesthesia is used, so pain during the procedure is minimal.
