Overview of CPT Code 25370: Excision of Forearm Tumor

Overview of CPT Code 25370: Excision of Forearm Tumor

CPT Code 25370 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 25370 is Used?

This procedure is indicated in various clinical scenarios, including:

• 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, including:

• 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

Several factors can contribute to the development of tumors in the forearm, including:

• 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

Before proceeding with the excision, several diagnostic tests may be conducted, including:

• 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 evaluate overall health and detect any underlying conditions.

Procedure Description

The excision of a forearm tumor typically follows these steps:

• Patient is positioned comfortably, and the area 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.
• The incision is closed with sutures or staples, and a sterile dressing is applied.

Preparation for the Procedure

Patients should follow these steps to prepare for the excision:

• Consult with the surgeon about any medications being taken.
• Avoid blood thinners and certain supplements as advised.
• Arrive at the facility with a responsible adult for post-procedure transport.
• Wear loose-fitting clothing to allow easy access to the forearm.

Recovery and Aftercare

Post-procedure recovery typically involves:

• Resting the arm and avoiding strenuous activities for a few days.
• Keeping the surgical site clean and dry.
• Changing dressings as instructed by the healthcare provider.
• Taking prescribed pain medications as needed.

Possible Complications

While generally safe, this procedure carries some risks, including:

• 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 essential for monitoring recovery, typically involving:

• A follow-up appointment within 1-2 weeks to check the surgical site.
• Reviewing pathology results if a biopsy was performed.
• Monitoring for any signs of complications or recurrence.
• Additional imaging or treatments if necessary.

Alternative Treatments

In some cases, alternative management options may include:

• Observation for benign tumors without symptoms.
• Cryotherapy for superficial lesions.
• Radiation therapy for certain malignant tumors.
• Medications for pain management or inflammation.

Home Care Tips

Patients can follow these tips for effective home care:

• Keep the incision site clean and dry.
• Avoid soaking the area in water until cleared by the doctor.
• Monitor for signs of infection, such as increased redness or discharge.
• Follow up with the healthcare provider as scheduled.

Patient Education & Prevention

To prevent recurrence and promote health, patients should consider:

• Regular skin checks for new or changing lesions.
• Sun protection to reduce skin cancer risk.
• Healthy lifestyle choices to support overall health.
• Prompt evaluation of any new lumps or changes in the forearm.

Billing and Coding Information

CPT Code: 25370

Category: Surgery

Common Modifiers:

• 50 - Bilateral procedure
• 59 - Distinct procedural service

Average Cost and Insurance Coverage

The cost for this procedure can vary widely based on several factors:

• Average costs range from $1,500 to $4,000 depending on facility and complexity.
• Most insurance plans cover this procedure if deemed medically necessary.
• Patients should verify coverage details with their insurance provider.