Overview of CPT Code 25700: Excision of Ganglion Cyst, Wrist

Overview of CPT Code 25700: Excision of Ganglion Cyst, Wrist

CPT Code 25700 refers to the surgical excision of a ganglion cyst located on the wrist. Ganglion cysts are noncancerous lumps that often develop along the tendons or joints of the wrists and hands, filled with a jelly-like fluid.

When CPT Code 25700 is Used?

This procedure is indicated in various clinical scenarios.

• Persistent pain or discomfort caused by the ganglion cyst.
• Cyst size increasing or causing functional impairment.
• Cyst causing pressure on surrounding nerves or tissues.
• Failure of conservative treatments such as aspiration or splinting.

Symptoms Indicating This Procedure

Patients may report several symptoms that lead to the consideration of this procedure.

• A noticeable lump on the wrist that may fluctuate in size.
• Pain or discomfort in the wrist, especially during movement.
• Numbness or tingling in the fingers if the cyst compresses nerves.
• Limited range of motion in the wrist due to the cyst.

Causes and Risk Factors

Understanding the causes and risk factors can help in prevention and management.

• Repetitive wrist movements or overuse.
• Previous wrist injuries or trauma.
• Arthritis or joint conditions.
• Genetic predisposition to developing cysts.

Diagnostic Tests Before Procedure

Certain tests may be conducted to confirm the diagnosis and plan for surgery.

• Physical examination to assess the cyst's characteristics.
• Ultrasound imaging to visualize the cyst and surrounding structures.
• MRI may be used in complex cases to evaluate joint involvement.

Procedure Description

The excision procedure involves several key steps.

• Patient is positioned comfortably, and the wrist is cleaned and sterilized.
• Local anesthesia is administered to numb the area.
• An incision is made over the cyst to access it.
• The cyst is carefully excised along with its stalk to minimize recurrence.
• The incision is closed with sutures, and a sterile dressing is applied.

Preparation for the Procedure

Proper preparation is essential for a successful outcome.

• Avoid blood thinners and anti-inflammatory medications prior to surgery.
• Discuss any allergies or medical conditions with the surgeon.
• Arrange for transportation home post-procedure due to anesthesia.
• Follow any specific fasting instructions if sedation is planned.

Recovery and Aftercare

Post-operative care is crucial for healing.

• Rest the wrist and avoid strenuous activities for several weeks.
• Keep the surgical site clean and dry; follow wound care instructions.
• Pain management may include over-the-counter pain relievers.
• Attend follow-up appointments to monitor healing and remove sutures.

Possible Complications

While generally safe, there are potential risks associated with the procedure.

• Infection at the surgical site.
• Bleeding or hematoma formation.
• Nerve damage leading to persistent numbness.
• Recurrence of the ganglion cyst.

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Post-Procedure Follow-Up

Follow-up care is important to ensure proper healing.

• Initial follow-up within 1-2 weeks to check the surgical site.
• Further assessments may be scheduled based on recovery progress.
• Long-term follow-up if symptoms persist or recur.

Alternative Treatments

Non-surgical options may be considered before excision.

• Aspiration of the cyst to relieve pressure and pain.
• Wrist splinting to immobilize the joint and reduce symptoms.
• Corticosteroid injections to decrease inflammation.
• Physical therapy to strengthen wrist muscles.

Home Care Tips

Patients can take steps at home to aid recovery.

• Apply ice packs to reduce swelling in the first 48 hours.
• Keep the wrist elevated to minimize swelling.
• Avoid heavy lifting or strenuous activities until cleared by the doctor.
• Monitor for signs of infection, such as increased redness or discharge.

Patient Education & Prevention

Educating patients can help prevent recurrence.

• Understand the importance of wrist ergonomics during activities.
• Engage in wrist-strengthening exercises to prevent injury.
• Avoid repetitive motions that may stress the wrist.
• Seek early treatment for wrist injuries to prevent complications.

Billing and Coding Information

CPT Code: 25700

Category: Surgery

Common Modifiers:

• 50 - Bilateral procedure
• RT - Right side
• LT - Left side

Average Cost and Insurance Coverage

Costs can vary based on location and insurance.

• 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.

Related CPT Codes

• 26010 - Drainage of Carpal Tunnel Cyst