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.

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Summary

Arthroplasty of the intercarpal or carpometacarpal joint generally involves a ligament reconstruction and tendon interposition (LRTI) or Burton LRTI, a procedure in which the surgeon inserts a prosthesis or tendon tissue graft in a joint to reconstruct the joint and restore mobility of the joint. The surgery is primarily performed in a patient suffering from degenerative arthritis, traumatic injury, or infection.

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Have a question about CPT Code 25447 ? Start a discussion here

CMC arthroplasty with tendon graft

I have seen 26480 reported with 25447 for some of these but it depends on what was done and the op note specifics and is for transfer. [URL unfurl="true"]https://www.aapc.com/codes/coding-newsletter... [ Read More ]

CMC arthroplasty with tendon graft

Recently received denial from Humana stating 20924 is bundled with 25447. Please note below pasted information from Orthopedic Coder's Pink Sheet 2015 regarding tendon graft with CMC arthroplasty. Hu... [ Read More ]

Operating Room Services Billing question

I am reviewing a bill from a hospital where a 24-hour stay occurred. The person had a laparoscopic hysterectomy (ob/gyn) and CMC joint arthroplasty w/tendon transfer (by ortho) on the same day in the ... [ Read More ]

25447 and 20924

I am having trouble getting Humana to pay for the 20924-59 (tendon graft from a distance) . Humana is stating they are inclusive which is why modifier 59 was appended. Do anyone have any suggestions... [ Read More ]

Trapeziectomy

If that's all that the doctor is doing, then I agree with CPT 25210. However, if it's part of a CMC arthroplasty for CMC arthritis, then it's bundled into 25447.... [ Read More ]

Codes 25215 & 20924 for Humana Medicare

[B]Code 25215[/B] 1) Has anyone had a problem with Humana Medicare for code 25215-59 (Carpectomy all bones proximal row) bumping against 25447 (Arthroscopy, interposition, intercarpal or carpometacar... [ Read More ]

thumb arthroplasty with tendon transfer

[QUOTE="lchiriac, post: 492097, member: 87861"] [LEFT]Good morning, I was wondering if I could get a clarification on when to use 26480/25310 with 25447? Does it matter which tendon or where the incis... [ Read More ]

thumb arthroplasty with tendon transfer

[LEFT]Good morning, I was wondering if I could get a clarification on when to use 26480/25310 with 25447? Does it matter which tendon or where the incision was done? Thank you, [/LEFT]... [ Read More ]

Code 25215 and 20924

LRTI - 25447 + 26480 or 26483? Free graft / spacer 25447 26480 26483 lrti

Can someone please look at the op report below and let me know what they think is supported? ASSH specifically states 26480 for tendon transfer INTO the CMC area, since for LRTI they state that the te... [ Read More ]

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