How To Use CPT Code 25075

CPT code 25075 describes the excision of a soft tissue tumor in the forearm and/or wrist area that is subcutaneous and measures 3 cm or less. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 25075?

CPT 25075 is used to describe the excision of a soft tissue tumor in the forearm and/or wrist area that is located below the skin surface. The tumor must measure 3 cm or less in size. This code is used when a healthcare provider removes the abnormal mass and submits it to a laboratory for analysis to determine its nature.

2. Official Description

The official description of CPT code 25075 is: ‘Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous less than 3 cm.’

3. Procedure

During the procedure for CPT 25075, the healthcare provider prepares the patient and administers anesthesia. An incision is made over the tumor in the skin, and the provider carefully removes the mass along with a small margin of healthy tissue surrounding it. The excised specimen is then sent to a laboratory for analysis. The provider irrigates the area, checks for bleeding, removes any instruments, and closes the incision.

4. Qualifying circumstances

CPT 25075 is appropriate for patients who require the excision of a soft tissue tumor in the forearm and/or wrist area that is subcutaneous and measures 3 cm or less. The patient must have a documented diagnosis of the tumor, and the healthcare provider must determine the need for excision based on the patient’s condition. The procedure should be performed by a qualified healthcare professional.

5. When to use CPT code 25075

CPT code 25075 should be used when a healthcare provider performs the excision of a soft tissue tumor in the forearm and/or wrist area that is subcutaneous and measures 3 cm or less. It is important to accurately document the size and location of the tumor to ensure proper coding.

6. Documentation requirements

To support a claim for CPT 25075, the healthcare provider must document the following information:

• Patient’s diagnosis and the need for excision
• Size and location of the tumor
• Date of the procedure
• Details of the excision procedure, including any additional procedures performed
• Results of the laboratory analysis, if available
• Signature of the healthcare provider performing the procedure

7. Billing guidelines

When billing for CPT 25075, ensure that the excision procedure meets the criteria specified in the code description. It is important to accurately document the size and location of the tumor to support the claim. Modifier 51, Multiple procedures, should be used if additional removals are performed at the same location. It is also important to follow any specific billing guidelines provided by the payer.

8. Historical information

CPT 25075 was added to the Current Procedural Terminology system on January 1, 1990. There have been two code changes since its addition, with the most recent change occurring on January 1, 2010.

9. Similar codes to CPT 25075

There are several similar codes to CPT 25075 that describe excision procedures on the forearm and wrist. These include:

• CPT 25065: Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (ie, beneath the fascia)
• CPT 25066: Excision, tumor, soft tissue of forearm and/or wrist area, deep (ie, subfascial), intramuscular
• CPT 25070: Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous, greater than 3 cm
• CPT 25071: Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (ie, beneath the fascia), greater than 3 cm
• CPT 25240: Excision, tumor, soft tissue of forearm and/or wrist area, deep (ie, subfascial), intramuscular, greater than 3 cm

9. Examples

1. A healthcare provider performs the excision of a 2 cm subcutaneous soft tissue tumor in the forearm of a patient.
2. A surgeon removes a 1.5 cm subcutaneous tumor in the wrist area of a patient.
3. A dermatologist excises a 3 cm subcutaneous tumor in the forearm of a patient and sends it for laboratory analysis.
4. An orthopedic surgeon performs the excision of a 2.5 cm subcutaneous tumor in the wrist area of a patient.
5. A plastic surgeon removes a 2.8 cm subcutaneous tumor in the forearm of a patient and submits it for pathological examination.
6. A general surgeon excises a 1 cm subcutaneous tumor in the wrist area of a patient and closes the incision.
7. An oncologist performs the excision of a 2.2 cm subcutaneous tumor in the forearm of a patient and sends it for further analysis.
8. A hand surgeon removes a 2.7 cm subcutaneous tumor in the wrist area of a patient and ensures proper wound closure.
9. A plastic surgeon excises a 1.3 cm subcutaneous tumor in the forearm of a patient and provides post-operative care instructions.
10. An orthopedic surgeon performs the excision of a 2.9 cm subcutaneous tumor in the wrist area of a patient and sends it for histopathological examination.