Overview of CPT Code 25800: Excision of Tumor, Forearm
CPT Code 25800 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 25800 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.
- Cosmetic concerns regarding the appearance of a 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 functional impairment.
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 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 excision.
- Ultrasound imaging to assess the size and characteristics of the tumor.
- MRI or CT scans for deeper evaluation of the tumor's extent.
- Biopsy to determine the nature of the tumor (benign vs malignant).
- Blood tests to check for markers associated with malignancy.
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 to access and excise it.
- The tumor is carefully removed 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
Proper preparation is essential for a successful procedure.
- Avoid blood thinners and certain 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-procedure care is crucial for optimal recovery.
- Rest for the first 24 hours post-surgery.
- Keep the surgical site clean and dry.
- Change dressings as instructed by the healthcare provider.
- Take prescribed pain medications as needed.
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 appointments are important for monitoring recovery.
- Initial follow-up within 1-2 weeks 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.
- Cryotherapy for superficial lesions.
- Radiation therapy for certain malignant tumors.
Home Care Tips
Simple home care can aid in recovery.
- 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 dietary recommendations to support healing.
Patient Education & Prevention
Education is key to prevention and early detection.
- Regular skin checks for new or changing lesions.
- Sun protection to reduce skin cancer risk.
- Awareness of family history of skin or other cancers.
- Prompt evaluation of any new lumps or changes in the forearm.
Billing and Coding Information
CPT Code: 25800
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 insurance plan and deductible.
Related CPT Codes
Frequently Asked Questions (FAQs)
What is the purpose of the excision?
The excision aims to remove a tumor to prevent recurrence and allow for pathological examination.
Will I need stitches after the procedure?
Yes, the incision will typically be closed with stitches or staples.
How long is the recovery period?
Most patients can expect a recovery period of 1 to 2 weeks.
Are there any risks associated with the procedure?
As with any surgery, there are risks such as infection and bleeding.
When will I know the results of the biopsy?
Biopsy results are usually available within a week after the procedure.
