CPT® Code 24152

Radical resection of a tumor in the radial head or neck is a surgical procedure primarily indicated for the removal of malignant neoplasms, although it may also be necessary for benign tumors or tumors of indeterminate nature. This procedure involves a comprehensive approach to ensure complete excision of the tumor along with a significant margin of healthy tissue to minimize the risk of residual cancerous cells. The process begins with a skin incision made directly over the tumor site, or alternatively, a skin flap may be created and elevated to provide access to the underlying structures. The surgeon meticulously dissects the overlying tissue to expose the tumor, ensuring that all affected bone and cartilage in the radial head or neck are removed. The tumor is excised en bloc, meaning it is taken out in one piece along with a wide margin of surrounding healthy tissue, which is crucial for effective treatment. This radical resection also encompasses the excision of all involved soft tissues, which may include muscles, tendons, fat, blood vessels, lymph vessels, nerves, and any tissues surrounding the joints that may be affected by the tumor. To confirm that the surgical margins are free of tumor cells, a separately reportable frozen section may be performed during the procedure. If any margins are found to contain malignancy, additional tissue will be excised until all margins are confirmed to be clear of cancerous cells. Post-surgery, drains may be placed as necessary to prevent fluid accumulation, and the surgical wound can be closed in layers, or additional reconstructive procedures may be performed if required.