CPT® Code 23078

Radical resection of a tumor in the soft tissue of the shoulder area, as described by CPT® Code 23078, involves the surgical removal of a tumor that is 5 cm or greater in size. Soft tissues encompass various structures, including muscles, tendons, fat, blood vessels, lymph vessels, nerves, and the tissues surrounding joints. Tumors in these soft tissues can be either benign or malignant, with radical resection primarily indicated for malignant neoplasms, such as sarcomas. However, benign tumors or those of uncertain nature may also necessitate this extensive surgical approach. The procedure 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 meticulously dissects the overlying tissue to expose the tumor, which is then excised en bloc, meaning it is removed in one piece along with a wide margin of healthy surrounding tissue. This wide margin is crucial to ensure that all potentially cancerous cells are eliminated. During the procedure, a frozen section may be performed to assess the surgical margins for the presence of tumor cells. If any malignancy is detected at the margins, additional tissue is excised until clear margins are confirmed. Post-surgery, drains may be placed to prevent fluid accumulation, and the surgical wound is typically closed in layers. In some cases, separate reconstructive procedures may be necessary to restore the area. For tumors smaller than 5 cm, CPT® Code 23077 is applicable, while CPT® Code 23078 is specifically designated for tumors measuring 5 cm or greater.