Overview of CPT Code 25815: Excision of Forearm Tumor

Overview of CPT Code 25815: Excision of Forearm Tumor

CPT Code 25815 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 for diagnostic and therapeutic purposes.

When CPT Code 25815 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 biopsy results.
• Tumors causing pain or functional impairment.
• Cosmetic concerns regarding the appearance 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 difficulties.

Causes and Risk Factors

Understanding the causes and risk factors can help in prevention and early detection.

• Genetic predisposition to certain 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

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 detailed imaging of the tumor and surrounding tissues.
• Biopsy to determine the nature of the tumor (benign or malignant).
• Blood tests to check for markers associated with certain tumors.

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 it.
• The tumor is carefully excised 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 eating or drinking for several hours before the procedure if sedation is planned.
• Discuss any medications with your doctor, especially blood thinners.
• Arrange for transportation home post-procedure if sedation is used.
• Wear loose-fitting clothing to allow easy access to the forearm.

Recovery and Aftercare

Post-procedure care is crucial for optimal recovery.

• Rest the arm and avoid strenuous activities for a few days.
• 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

Follow-up care is important to ensure proper healing.

• Schedule a follow-up visit within 1-2 weeks post-surgery.
• Monitor for signs of infection or complications.
• Discuss pathology results if a biopsy was performed.
• Plan for any additional treatments if malignancy is confirmed.

Alternative Treatments

In some cases, non-surgical options may be considered.

• Observation for benign tumors without symptoms.
• Cryotherapy for superficial skin tumors.
• Radiation therapy for certain malignant tumors.
• Medications for managing symptoms associated with tumors.

Home Care Tips

Simple home care can aid in recovery.

• Keep the surgical area clean and dry.
• Avoid soaking the wound in water until cleared by a doctor.
• Monitor for any 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.
• Prompt evaluation of any new lumps or changes in the forearm.

Billing and Coding Information

CPT Code: 25815

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

• 25820 - Excision of Tumor, Forearm
• 25825 - 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.
• 11402 - Excision, benign skin lesion, face, ears, scalp, neck; excised diameter over 4.0 cm.