How To Use CPT Code 25112

CPT 25112 describes the excision of a recurrent ganglion from the wrist to relieve pain or discomfort. 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 25112?

CPT 25112 is used to describe the excision of a recurrent ganglion from the wrist. A ganglion is a fluid-filled mass that occurs on the sheath or covering of a tendon. This procedure is performed to alleviate pain or discomfort caused by the ganglion.

2. Official Description

The official description of CPT code 25112 is: ‘Excision of ganglion, wrist (dorsal or volar) recurrent.’

3. Procedure

During the procedure for CPT 25112, the patient is appropriately prepped and anesthetized. The provider makes an incision near the wrist joint and separates the subcutaneous tissues. The ganglion is then isolated and excised from the underlying structures. Afterward, the area is irrigated, checked for bleeding, any instruments are removed, and the incision is closed.

4. Qualifying circumstances

CPT 25112 is performed when a recurrent ganglion is present on the wrist. If it is the first occurrence of a ganglion at this location, CPT code 25111 should be reported instead. The procedure is performed to relieve pain or discomfort caused by the ganglion.

5. When to use CPT code 25112

CPT code 25112 should be used when a recurrent ganglion is excised from the wrist. It is important to note that this code is not appropriate for the primary excision of a ganglion. In such cases, CPT code 25111 should be used instead.

6. Documentation requirements

To support a claim for CPT 25112, the following documentation is required:

• Patient’s diagnosis of a recurrent ganglion
• Details of the procedure, including the incision site and technique used
• Confirmation of appropriate anesthesia administration
• Documentation of any complications or unexpected findings
• Post-operative care instructions
• Signature of the provider performing the procedure

7. Billing guidelines

When billing for CPT 25112, ensure that the procedure performed is the excision of a recurrent ganglion from the wrist. If it is the primary excision of a ganglion, CPT code 25111 should be used instead. There are no specific guidelines regarding reporting CPT 25112 with other codes.

8. Historical information

CPT 25112 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates to the code since its addition.

9. Similar codes to CPT 25112

There are several similar codes to CPT 25112 that describe excision procedures on the forearm and wrist. These include:

• CPT 25065: Excision, tumor, soft tissue of forearm and/or wrist area; subcutaneous
• CPT 25066: Excision, tumor, soft tissue of forearm and/or wrist area; subfascial (eg, intramuscular)
• CPT 25075: Excision, tumor, soft tissue of forearm and/or wrist area; deep, subfascial (eg, submuscular)
• CPT 25210: Excision, tumor, bone, radius or ulna; benign
• CPT 25215: Excision, tumor, bone, radius or ulna; malignant

9. Examples

1. A patient presents with a recurrent ganglion on their dorsal wrist. The provider performs an excision of the ganglion using CPT code 25112.
2. A patient has a volar recurrent ganglion on their wrist. The provider performs an excision of the ganglion using CPT code 25112.
3. A recurrent ganglion is causing pain and discomfort for a patient on their dorsal wrist. The provider performs an excision of the ganglion using CPT code 25112.
4. A volar recurrent ganglion is causing discomfort for a patient on their wrist. The provider performs an excision of the ganglion using CPT code 25112.
5. A patient presents with a recurrent ganglion on their wrist. The provider performs an excision of the ganglion using CPT code 25112 to alleviate their pain.
6. A volar recurrent ganglion is causing discomfort for a patient on their wrist. The provider performs an excision of the ganglion using CPT code 25112 to relieve their symptoms.
7. A patient has a dorsal recurrent ganglion on their wrist. The provider performs an excision of the ganglion using CPT code 25112 to alleviate their pain and discomfort.
8. A recurrent ganglion is causing discomfort for a patient on their volar wrist. The provider performs an excision of the ganglion using CPT code 25112 to relieve their symptoms.
9. A patient presents with a recurrent ganglion on their wrist. The provider performs an excision of the ganglion using CPT code 25112 to alleviate their pain and improve their wrist function.
10. A volar recurrent ganglion is causing pain and discomfort for a patient on their wrist. The provider performs an excision of the ganglion using CPT code 25112 to relieve their symptoms and improve their quality of life.