CPT® Code 23077

The CPT® Code 23077 refers to the radical resection of a tumor located in the soft tissue of the shoulder area, specifically when the tumor measures less than 5 cm. Soft tissues encompass a variety of structures, including muscles, tendons, fat, blood vessels, lymph vessels, nerves, and the tissues that surround joints. Tumors that arise in these soft tissues can be either benign or malignant. A radical resection is a surgical procedure that aims to remove a tumor along with a significant margin of surrounding healthy tissue to ensure complete excision, particularly in cases of malignant neoplasms such as sarcomas. However, it is important to note that benign tumors or those of uncertain nature may also necessitate a radical resection. The procedure typically begins with a skin incision made directly over the tumor or the creation of a skin flap that is elevated to access the underlying tissue. The surgeon then meticulously dissects the overlying tissue to expose the tumor, which is removed en bloc, meaning the tumor and a wide margin of surrounding tissue are excised together. This comprehensive approach is crucial as it involves the removal of all affected soft tissue, which may include critical structures such as muscles, nerves, and blood vessels. To ensure that the surgical margins are free of tumor cells, a frozen section analysis may be performed during the procedure. If any malignancy is detected at the margins, additional tissue will be excised until clear margins are achieved. Post-surgery, drains may be placed as necessary to prevent fluid accumulation, and the surgical wound can be closed in layers or may require separate reconstructive procedures, depending on the extent of the resection. For tumors measuring 5 cm or greater, the appropriate code to use is 23078.