Overview of CPT Code 25394: Excision of Forearm Tumor
CPT Code 25394 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 25394 is Used?
This procedure is indicated in various clinical scenarios, including:
- 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 the following 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 functional impairment of the forearm.
Causes and Risk Factors
Several factors may contribute to the development of tumors in the forearm:
- 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, the following diagnostic tests may be conducted:
- 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 involves the following 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.
- Surgeon carefully excises the tumor 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
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.
- Arrange for transportation to and from the procedure.
- Follow any fasting instructions if sedation is planned.
Recovery and Aftercare
Post-procedure recovery typically includes:
- Resting for the first few days after the procedure.
- Keeping the surgical site clean and dry.
- Monitoring for signs of infection, such as increased redness or discharge.
- Taking prescribed pain medications as needed.
Possible Complications
While generally safe, this procedure may carry some risks:
- 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 appointments are essential for monitoring recovery:
- Initial follow-up within one week to assess healing and remove sutures.
- Additional visits as needed based on pathology results.
- Long-term monitoring for any signs of tumor recurrence.
Alternative Treatments
In some cases, non-surgical options may be considered:
- Observation for benign tumors that are not causing symptoms.
- Radiation therapy for certain types of malignant tumors.
- Cryotherapy or laser therapy for superficial skin tumors.
Home Care Tips
Patients can follow these tips for effective home care:
- Keep the surgical area clean and dry.
- Avoid strenuous activities that may strain the forearm.
- Follow the surgeon's instructions regarding dressing changes.
- Report any unusual symptoms to the healthcare provider promptly.
Patient Education & Prevention
Educating patients on prevention and recurrence is vital:
- Regular skin checks for new or changing lesions.
- Sun protection to reduce the risk of skin tumors.
- Healthy lifestyle choices to support overall health.
- Prompt evaluation of any new lumps or changes in the forearm.
Billing and Coding Information
CPT Code: 25394
Category: Surgical Procedures
Common Modifiers:
- 50 - Bilateral procedure
- RT - Right side
- LT - Left side
Average Cost and Insurance Coverage
The cost of the procedure can vary widely:
- Average cost ranges from $1,500 to $4,000 depending on complexity.
- Insurance may cover the procedure if deemed medically necessary.
- Patients should verify coverage details with their insurance provider.
Frequently Asked Questions (FAQs)
What is the purpose of the excision?
The excision aims to remove a tumor from the forearm, which may be benign or malignant.
How long does the procedure take?
The procedure typically takes about 30 minutes to an hour, depending on the tumor's size.
Will I need stitches?
Yes, sutures are usually required to close the incision after the tumor is removed.
What is the recovery time?
Most patients can expect to recover within a few weeks, but full healing may take longer.
Are there any restrictions after surgery?
Patients are advised to avoid heavy lifting and strenuous activities for a few weeks post-surgery.
