What is CPT 25447?
CPT® 25447, Under Repair, Revision, and/or Reconstruction Procedures on the Forearm and Wrist. The Current Procedural Terminology (CPT®) code 25447 as maintained by American Medical Association, is a medical procedural code under the range – Repair, Revision, and/or Reconstruction Procedures on the Forearm and Wrist.
Can you bill 25447 and 26480 together?
Per the Coder’s Desk Reference for CPT 25447 ” The trapezium and possibly the base of the first metacarpal are excised and the interposition material, usually either a piece of harvested tendon or fascia, is inserted in the defect.” CPT 26480 will always bundle with 25447.
What is the CPT code for Tenosynovectomy?
26145
Files related to Synovectomy tendon sheath, radical tenosynovectomy, flexor, palm or finger, single, each digit (26145)
How do you code a tendon transfer?
For transfer or transplant of a palmar tendon without a free graft, report 26485 for each tendon; report 26489 if a free tendon graft is used.
What is the CPT code for CMC arthroplasty?
25447
We used CPT code 25447 (arthroplasty, interposition, intercarpal, or CMC joints) to search the database for patients who underwent thumb CMC interposition arthroplasty.
What is a Tenosynovectomy?
Tenosynovectomy is an operation to correct restricted or painful movement of a tendon due to thickening and adhesions within the tendon sheath.
What is extensor Tenosynovectomy?
Extensor tenosynovitis of the wrist can lead to rupture of the extensor tendons. Extensor tenosynovectomy is indicated if the tenosynovitis cannot be controlled by conservative measures. This technique allows approach to the extensor compartments with small incisions and minimal soft tissue dissection.
What does tenolysis mean?
Tenolysis is surgery to remove adhesions from a tendon. Adhesions happens when scar tissue forms and binds tendons to tissue.
When an Interpositional arthroplasty is performed What also can be reported if performed?
Whether excisional arthroplasty is performed with an interposition tendon graft, tendon suspension, or allograft tightrope, all methods are reported with CPT code 25447, Arthroplasty, interposition, intercarpal or carpometacarpal joint.
What is the CPT code for tendon transfer?
Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft (includes obtaining graft), each tendon (25312) Tendon transfer or transplant, carpometacarpal area or dorsum of hand, single; without free graft, each (26480) Period.
How is the trapezium removed in CPT 25447?
Usually in 25447 the trapezium is removed and a tendon is cut and rolled up into the space where the bone was removed from. From what I see in reading this he did a proximal row carpectomy. The PIN in these cases are performed for long term pain control so that would not be reported separately.
What are the CPT codes for tenodesis surgery?
Tendon Transfers / Tenodesis CPT Codes. MCP Sagittal Band Reconstruction. Muscle or tendon transfer, any type, upper arm or elbow, single (24301) Tenoplasty, with muscle transfer, with or without free graft, elbow to shoulder, single (Seddon- Brookes type procedure) (24320) Flexor-plasty, elbow, eg, Steindler type advancement) (24330)
How is the interposition flap arthroplasty performed?
“The interposition flap arthroplasty from the radiocarpal space, during the initial approach, the wrist capsule was elevated in a U-shape flap for possible interposition arthroplasty. At the end of the procedure there were arthritic changes of the hamate.