Overview of CPT Code 25825: Excision of Tumor, Forearm

Overview of CPT Code 25825: Excision of Tumor, Forearm

CPT Code 25825 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 proper diagnosis and treatment.

When CPT Code 25825 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.
• Need for definitive diagnosis through histopathological examination.

Symptoms Indicating This Procedure

Patients may report several symptoms that warrant 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 carcinogenic substances.
• Chronic inflammation or irritation in the forearm area.

Diagnostic Tests Before Procedure

Several diagnostic tests may be performed to guide the procedure.

• 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 prior to excision.

Procedure Description

The excision procedure involves several key steps.

• 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 remove it.
• The tumor is 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 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 and watch for signs of infection.
• 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.

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Post-Procedure Follow-Up

Follow-up care is important for monitoring recovery.

• Schedule a follow-up appointment within 1-2 weeks post-surgery.
• Monitor for any unusual symptoms or complications.
• Discuss pathology results and further treatment if necessary.

Alternative Treatments

There are non-surgical options available for some patients.

• Observation for benign tumors without symptoms.
• Cryotherapy for superficial skin lesions.
• Radiation therapy for certain malignant tumors.

Home Care Tips

Patients can follow these tips for better recovery.

• Keep the surgical area clean and dry.
• Avoid strenuous activities that may stress the forearm.
• Use ice packs to reduce swelling if needed.
• Follow all post-operative instructions from the healthcare provider.

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.

Billing and Coding Information

CPT Code: 25825

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.
• Check with your insurance provider for specific coverage details.

Related CPT Codes

• 25820 - Excision of Tumor, Forearm
• 25815 - Excision of Forearm Tumor
• 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.