Overview of CPT Code 25810: Excision of Tumor, Forearm
CPT Code 25810 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 25810 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.
- 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 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 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 around the tumor.
- An incision is made over the tumor to access and excise it completely.
- Surrounding tissue may be removed to ensure clear margins.
- 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 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-operative care is crucial for healing.
- Rest for the first few days following the procedure.
- 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.
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Post-Procedure Follow-Up
Regular follow-up is important for monitoring recovery.
- Initial follow-up within 1-2 weeks for suture removal.
- Further follow-ups as recommended based on pathology results.
- Monitoring for any signs of recurrence or complications.
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.
- Medications for managing symptoms associated with tumors.
Home Care Tips
Patients can take steps to aid their 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 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 tumors or cancers.
- Prompt evaluation of any new lumps or changes in the forearm.
Billing and Coding Information
CPT Code: 25810
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 complexity.
- Insurance typically covers the procedure if deemed medically necessary.
- Out-of-pocket costs may vary based 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.
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 anesthesia?
Yes, local anesthesia is typically used to numb the area during the procedure.
How long is the recovery period?
Most patients can expect a recovery period of 1 to 2 weeks, depending on individual healing.
Are there any risks involved?
As with any surgery, there are risks such as infection, bleeding, and scarring.
When will I know the results of the biopsy?
Biopsy results are usually available within a week after the procedure.
