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The procedure described by CPT® Code 23071 involves the excision of a tumor located in the soft tissue of the shoulder area, specifically when the tumor measures 3 cm or greater. Soft tissues encompass a variety of structures, including subcutaneous fat, connective tissue, fascia, muscles, tendons, blood vessels, lymph vessels, nerves, and the tissues surrounding joints. Tumors found within these soft tissues can be either benign or malignant. Typically, benign tumors are treated through excision, while small malignant or indeterminate tumors may also be excised if they have well-defined margins. The approach to excising the tumor may vary based on its location; for instance, the skin over the tumor may be incised directly, or a skin flap may be created and elevated to access the tumor. During the procedure, the overlying tissue is carefully dissected to expose the soft tissue mass, which is then excised along with a margin of healthy tissue to ensure complete removal. In some cases, a separately reportable frozen section may be performed to confirm that all margins are free of tumor cells. After the tumor is excised, drains may be placed as necessary, and the surgical wound is closed in layers. It is important to note that for tumors located in the subcutaneous fat or connective tissue that are less than 3 cm, CPT® Code 23075 is used, while for tumors below the fascia, CPT® Code 23076 is applicable for masses less than 5 cm, and CPT® Code 23073 is used for those 5 cm or greater. Subfascial soft tissue tumors include those found within muscle tissue.
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