CPT^® 25400, Under Repair, Revision, and/or Reconstruction Procedures on the Forearm and Wrist

The Current Procedural Terminology (CPT^®) code 25400 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.

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Summary

In this procedure the provider treats a nonunion or malunion deformity in a radius or ulna bone of the lower arm. He cuts through the undeveloped or improperly grown bone and fixes it by pulling together the ends.

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Coding for impending malunion fracture

Hello, I have an op report for a patient and the physician stated it was an impending malunion. He did state the fracture is 3-4 weeks old and had to remove a significant amount of callous in order t... [ Read More ]

ORIF distal radius fracture malunion

25400. There is no edit since 25400 is for a fracture which has already been treated (and gone on to mal-union) and 25607 is for a fracture that is currently being treated. But it would also be very r... [ Read More ]

ORIF distal radius fracture malunion

Hi everyone! I'm coding a "ORIF distal radius fracture malunion." Would this be 25400 (repair radius malunion) or 25607 (ORIF extra-articular radius fracture)? There are also no NCCI edits for these t... [ Read More ]

Radial fracture

Look at 25400, 20680...... [ Read More ]

Excision, Ulnar Styloid Non-Union

Did you end up checking out 25240? 25400 seemed excessive when no saws, plates and screws were used. I just came across this surgery in our acs and started researching it. The Ingenix 2013 coding ... [ Read More ]

malunion distal radius fx open reduction & percutaneous wire fixation with osteoclasi

You are correct. The correct code is either 25400 or 25405. Code 25606 is for acute fracture care, not a malunion. If you used it, you may be denied because the CPT code would not match the diagnos... [ Read More ]

malunion distal radius fx open reduction & percutaneous wire fixation with osteoclasi

[b]malunion distal radius fx open reduction & percutaneous wire fixation with osteoclasi[/b] I have a question about Open reduction with osteoclasis and percutaneous wire(pinning) fixation of a malun... [ Read More ]

dx for nonunion ulnar shortening osteotomy

Need a 2nd opinion. My dr. did a revision ulnar shortening osteotomy, dx nonunion ulnar shortening osteotomy. The original osteotomy procedure was for ulnar carpal impaction, not a fracture. Am I c... [ Read More ]

25400 without graft vs 25405 with autograft

OP NOTE: ORIF & repair of the nonunion with local grafting. .....previous incision was opened, compression plate was removed. The nonunion was identified, the osteophytes removed, edges made parallel... [ Read More ]

Please help w/coding report

Thanks Ree, I was thinking the same thing but in the description of 25400, it states a 10-15cm longitudinal incision. The report states 2cm made in one area and 8cm in another, is that acceptable to ... [ Read More ]

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