Overview of CPT Code 25805:excision-of-tumor-forearm

Overview of CPT Code 25805:excision-of-tumor-forearm

CPT Code 25805 refers to the surgical excision of a tumor located in the forearm. This procedure is typically performed to remove benign or malignant growths, ensuring complete removal to prevent recurrence and to facilitate further pathological examination.

When CPT Code 25805 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 physical examination.
• Tumors causing pain, discomfort, or functional impairment.
• Need for a biopsy to determine the nature of the 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 of 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 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 histological type of the tumor.
• Blood tests to check for markers of 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 around the tumor.
• An incision is made over the tumor, and the tumor is carefully excised along with a margin of healthy tissue.
• Hemostasis is achieved to control any bleeding.
• 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 and 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 any fasting instructions if sedation is planned.

Recovery and Aftercare

Post-operative care is crucial for healing.

• Rest the arm and avoid strenuous activities for at least a week.
• 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.

Secure, compliant, and built for trust

HIPAA-compliant and designed with privacy in mind, your patient’s data is protected. Focus on care while we safeguard your information.

Learn more

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 that are not causing symptoms.
• Cryotherapy for superficial skin tumors.
• Radiation therapy for certain types of malignant tumors.

Home Care Tips

Patients can take steps at home to aid recovery.

• 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 prevention and early detection.

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

Billing and Coding Information

CPT Code: 25805

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 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

• 25800 - Excision of Tumor, Forearm
• 25805 - Excision of Tumor, Forearm
• 11400 - Excision, benign skin lesion, face, ears, scalp, neck; excised diameter over 4.0 cm.
• 11401 - Excision, benign skin lesion, face, ears, scalp, neck; excised diameter over 4.0 cm.
• 11600 - Excision, malignant skin lesion, face, ears, scalp, neck; excised diameter over 4.0 cm.