Overview of CPT Code 25391: Excision of forearm tumor

Overview of CPT Code 25391: Excision of forearm tumor

CPT Code 25391 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 25391 is Used?

This procedure is indicated in various clinical scenarios.

• Presence of a palpable tumor in the forearm that requires removal.
• Suspicion of malignancy based on imaging or biopsy results.
• Tumors causing pain, discomfort, or functional impairment.
• Cosmetic concerns regarding the appearance of a forearm 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 function in the forearm.

Causes and Risk Factors

Understanding the causes and risk factors can help in prevention and early detection.

• 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

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 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 examined to ensure complete removal.
• 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 procedure.

• Consult with the surgeon about any medications you are taking.
• Avoid blood thinners and certain supplements as advised.
• Arrive at the facility with a responsible adult for post-procedure transport.
• Follow any fasting instructions if sedation is planned.

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; follow dressing change instructions.
• Take prescribed pain medications as needed.
• Attend follow-up appointments to monitor healing and remove sutures if necessary.

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 to check the surgical site.
• Additional visits may be scheduled based on pathology results.
• Long-term monitoring may be necessary for malignant tumors.

Alternative Treatments

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

• Observation for benign tumors that are not causing symptoms.
• Cryotherapy or laser therapy for superficial skin tumors.
• Radiation therapy for certain malignant tumors as an adjunct to surgery.

Home Care Tips

Simple tips can aid in recovery at home.

• Keep the surgical area clean and dry.
• Avoid strenuous activities that may stress the forearm.
• Monitor for signs of infection, such as increased redness or discharge.
• Follow a balanced diet to support healing.

Patient Education & Prevention

Education can help prevent future issues.

• Regular skin checks for new or changing growths.
• Sun protection to reduce skin cancer risk.
• Awareness of family history regarding tumors.
• Prompt evaluation of any new lumps or changes in the forearm.

Billing and Coding Information

CPT Code: 25391

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 $4,000 depending on complexity.
• Insurance typically covers the procedure if deemed medically necessary.
• Out-of-pocket costs may vary based on deductible and copay.

Related CPT Codes

• 25390 - Excision of Forearm Tumor