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CPT 25071: Excision of Soft-Tissue Mass, Forearm or Wrist (≥3 cm)
CPT code 25071 denotes the surgical excision of a soft-tissue mass beneath the skin of the forearm or wrist when the specimen is 3 cm or larger and is submitted for pathological analysis. This procedure-level code captures a common outpatient surgical intervention used to diagnose or treat palpable masses in the distal upper extremity. It matters nationally because it affects perioperative coding, billing consistency, and claims adjudication across both commercial and public payers.
Key payers covered in this overview include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise clinical and coding context for when 25071 is reported, plus what to expect for sites of service and typical clinical use. The publication summarizes benchmarks and payment considerations, highlights common billing modifiers, and outlines relevant clinical context for specimen submission for pathology.
The content is intended for coding professionals, surgical providers, and revenue-cycle staff seeking clear guidance on the clinical circumstances represented by CPT code 25071, common payer coverage patterns, and the operational steps tied to specimen handling and outpatient surgical workflows.
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Billing Code Overview
CPT code 25071 describes the surgical excision of a mass located in the soft tissues beneath the skin of the forearm or wrist, with the excised specimen measuring 3 cm or greater in greatest dimension and submitted for laboratory analysis to determine its nature.
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Service type: Surgical excision of soft tissue mass
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Typical site of service: Ambulatory surgical center or hospital outpatient setting; may also occur in an office-based surgical suite depending on provider resources and case complexity.
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