Overview of CPT Code 25365: Excision of Forearm Tumor

CPT Code 25365 refers to the surgical excision of a tumor located in the forearm. This procedure is performed to remove benign or malignant growths, ensuring that surrounding healthy tissue is preserved as much as possible.

When CPT Code 25365 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 draped.
Local anesthesia is administered to numb the area.
An incision is made over the tumor to access it.
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.
Inform the doctor of any allergies or medical conditions.
Arrange for transportation to and from the procedure.
Follow fasting instructions if sedation is planned.

Recovery and Aftercare

Post-operative care is crucial for healing.

Rest and limit use of the affected arm for a few days.
Keep the surgical site clean and dry; follow dressing change instructions.
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 to ensure proper healing.

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 or laser therapy for superficial lesions.
Radiation therapy for certain malignant tumors.

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 swelling.
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 skin cancer risk.
Awareness of family history of tumors and discussing with a healthcare provider.