2025 CPT code 25075
Effective Date: N/A Revision Date: N/A Surgery - Musculoskeletal System Feed
Excision of a subcutaneous tumor from the forearm or wrist area that is less than 3 cm in size.
Modifiers can be used to indicate laterality (LT, RT), increased procedural services (22), multiple procedures (51), reduced services (52), distinct procedural service (59), and repeat procedures (76, 77).
Medical necessity must be established by documenting the symptoms, signs, or abnormal findings that justify the excision, for example, pain, limited range of motion, or suspicion of malignancy.
The physician prepares the patient, administers anesthesia, makes an incision, excises the tumor with margins, sends the specimen for analysis, controls bleeding, and closes the incision.
In simple words: Removal of a lump under the skin of the forearm or wrist that is smaller than 3 cm. The lump is sent to a lab to check if it's cancerous.
Surgical removal of a tumor located in the subcutaneous soft tissue of the forearm and/or wrist area. The tumor's greatest diameter, including margins necessary for complete excision, is less than 3 cm. This code includes simple or intermediate repair of the excision site.
Example 1: A patient presents with a 2 cm subcutaneous lipoma on the volar aspect of the left forearm. The lipoma is excised under local anesthesia using code 25075-LT., A patient has a 1.5 cm ganglion cyst on the dorsal wrist. The cyst is excised in the office. Code 25075 is used for this procedure., A patient has a 2.5 cm subcutaneous fibroma on the right forearm. During the same surgical session, a separate procedure (e.g., removal of a mole) is also performed. Code 25075-RT and the appropriate code for the other procedure are reported with modifier 51 appended to the lesser-valued code.
Documentation should include size and location of the tumor, operative report detailing the procedure including margins, and pathology report.
- Modifier TC rule: No information about TC modifier
- Specialties:General surgery, plastic surgery, orthopedic surgery, dermatology.
- Place of Service:Office, Ambulatory Surgical Center, Outpatient Hospital, Inpatient Hospital (less common).