Overview of CPT Code 25390: Excision of Forearm Tumor
CPT Code 25390 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 25390 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 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 changes in skin color over 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 early detection.
- Genetic predisposition to tumors.
- Previous history of skin cancer or other malignancies.
- Exposure to certain chemicals or radiation.
- 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 vs malignant).
- Blood tests to check for markers associated with certain types of tumors.
Procedure Description
The excision procedure follows a systematic approach.
- 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, and the tumor is carefully excised.
- Surrounding tissue may be removed to ensure clear margins.
- 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 or anti-inflammatory medications as advised by the physician.
- Inform the doctor about 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 the arm and avoid strenuous activities for a few days.
- Keep the surgical site clean and dry; follow wound care 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 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 indicated based on pathology results.
Alternative Treatments
In some cases, non-surgical options may be considered.
- 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 take steps to aid their recovery at home.
- Keep the surgical area clean and dry.
- Monitor for signs of infection such as increased redness or discharge.
- Apply ice packs to reduce swelling as needed.
- 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.
- Prompt evaluation of any new lumps or changes in the forearm.
Billing and Coding Information
CPT Code: 25390
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 $2,000 to $5,000 depending on facility and complexity.
- Most insurance plans cover the procedure if deemed medically necessary.
- Out-of-pocket costs may apply depending on the insurance plan.
Related CPT Codes
- 25391 - Excision of forearm tumor
Frequently Asked Questions (FAQs)
What is the purpose of the excision?
The excision aims to remove the tumor completely for diagnosis and treatment.
How long is the recovery period?
Most patients recover within 1 to 2 weeks, depending on the extent of the surgery.
Will there be scarring?
Some scarring is possible, but it often fades over time.
Is this procedure painful?
Local anesthesia is used, and post-operative pain can be managed with medication.
