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Overview of CPT Code 25375: Excision of forearm tumor

Overview of CPT Code 25375: Excision of forearm tumor

CPT Code 25375 refers to the surgical excision of a tumor located in the forearm. This procedure is performed to remove abnormal growths that may be benign or malignant, ensuring proper diagnosis and treatment.

When CPT Code 25375 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 physical examination.
  • Tumors causing pain or functional impairment.
  • Need for definitive diagnosis through histopathological examination.

Symptoms Indicating This Procedure

Patients may report several symptoms that warrant this surgical intervention.

  • A noticeable lump or mass in the forearm.
  • Pain or discomfort 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 early detection.

  • Genetic predisposition to tumors.
  • Previous history of skin cancer.
  • Exposure to certain chemicals or radiation.
  • Chronic inflammation or irritation in the forearm area.

Diagnostic Tests Before Procedure

Several diagnostic tests may be conducted to assess the tumor.

  • Ultrasound imaging to evaluate the tumor's characteristics.
  • MRI or CT scans for detailed imaging.
  • Biopsy to determine the nature of the tumor.
  • Blood tests to check for markers of malignancy.

Procedure Description

The excision procedure involves several key steps.

  • Patient is positioned comfortably and anesthesia is administered.
  • An incision is made over the tumor site.
  • The tumor is carefully excised along with a margin of healthy tissue.
  • The wound is cleaned and closed with sutures or staples.
  • Post-operative care instructions are provided.

Preparation for the Procedure

Proper preparation is essential for a successful outcome.

  • Avoid eating or drinking for at least 8 hours before surgery.
  • Discuss any medications with your doctor, especially blood thinners.
  • Arrange for transportation home after the procedure.
  • Wear loose-fitting clothing to the appointment.

Recovery and Aftercare

Recovery time varies, and proper aftercare is crucial.

  • Expected recovery period is typically 1 to 2 weeks.
  • Keep the surgical site clean and dry.
  • Follow-up appointments to monitor healing.
  • Pain management with prescribed medications as needed.

Possible Complications

While complications are rare, they can occur.

  • Infection at the surgical site.
  • Excessive bleeding during or after the procedure.
  • Scarring or changes in skin sensation.
  • Recurrence of the tumor.
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Post-Procedure Follow-Up

Follow-up care is important for monitoring recovery.

  • Initial follow-up within 1 week to check the surgical site.
  • Further follow-ups based on pathology results.
  • Regular monitoring for any signs of recurrence.

Alternative Treatments

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

  • Observation for benign tumors without symptoms.
  • Radiation therapy for certain types of tumors.
  • Cryotherapy for superficial skin tumors.
  • Medications for pain management.

Home Care Tips

Patients can take steps to aid their recovery at home.

  • Keep the incision site clean and dry.
  • Avoid strenuous activities for at least 2 weeks.
  • Monitor for signs of infection, such as increased redness or swelling.
  • Follow prescribed medication instructions carefully.

Patient Education & Prevention

Education is key to preventing recurrence and complications.

  • Regular skin checks for new or changing lesions.
  • Sun protection to reduce skin cancer risk.
  • Healthy lifestyle choices to support overall health.
  • Promptly report any new symptoms to your healthcare provider.

Billing and Coding Information

CPT Code: 25375

Category: Surgical Procedures

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.
  • Insurance may cover the procedure if deemed medically necessary.
  • Out-of-pocket costs depend on the patient's insurance plan.

Frequently Asked Questions (FAQs)

What is the purpose of the excision?

The excision aims to remove the tumor and determine if it is benign or malignant.

How long does the procedure take?

The procedure typically takes about 30 minutes to an hour.

Will I have a scar after surgery?

Yes, there will be a scar, but it will fade over time.

Can I drive after the procedure?

It is advised to avoid driving for at least 24 hours post-anesthesia.

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