Overview of CPT Code 25820: Excision of Tumor, Forearm

Overview of CPT Code 25820: Excision of Tumor, Forearm

CPT Code 25820 refers to the surgical excision of a tumor located in the forearm. This procedure is performed to remove abnormal growths that may be benign or malignant, ensuring that any potential cancerous cells are eliminated.

When CPT Code 25820 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 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 involves several key steps.

• Patient is positioned comfortably and the forearm is cleaned and sterilized.
• Local anesthesia is administered to numb the area.
• An incision is made over the tumor to access and remove it.
• Surrounding tissue may be excised to ensure complete removal.
• 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 healing.

• Rest for the first few days following the procedure.
• 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.

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 appointments are important for monitoring recovery.

• Initial follow-up within one week to assess healing.
• Further follow-ups as needed 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.
• Medications for managing symptoms associated with tumors.

Home Care Tips

Patients can take steps at home to aid 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 swelling.
• Follow dietary recommendations to support healing.

Patient Education & Prevention

Education is key to preventing recurrence.

• Regular skin checks for new or changing lesions.
• Sun protection to reduce skin cancer risk.
• Healthy lifestyle choices to support overall health.
• Prompt evaluation of any new lumps or changes in the forearm.

Billing and Coding Information

CPT Code: 25820

Category: Surgical Procedures

Common Modifiers:

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

Average Cost and Insurance Coverage

Costs can vary based on several factors.

• Average cost ranges from $1,500 to $3,000.
• Insurance typically covers 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
• 25810 - 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.