CPT code 25448 refers to a surgical procedure that repairs and reinforces the joints in the wrist using tendons from other parts of the body. CPT 25448 represents “Arthroplasty, intercarpal or carpometacarpal joints; suspension, including transfer or transplant of tendon, with interposition, when performed.” CPT 25448 is a new code for 2025. It’s parent code is CPT 25447: “Arthroplasty, intercarpal or carpometacarpal joints; interposition (eg, tendon).” There is a 90 day global period after this surgery.
Procedure Explanation:
This procedure involves fixing up the small joints within your wrist to relieve pain and restore function. It includes the special step of using a tendon, which is a strong tissue from another part of the body, to provide extra support to the wrist joint. The surgery does not involve more extensive treatments like replacing the whole joint or using artificial materials beyond the tendon. It is focused on relocating and inserting tendons for support and cushioning. Basically, 25448 is used when suspension is added to a CMC arthroplasty.
Common Names:
- LRTI or ligament reconstruction and tendon interposition
- Basal joint reconstruction with tendon interposition
- Trapezial arthroplasty with tendon interposition
- Thumb CMC joint reconstruction with tendon interposition
- Trapeziectomy with ligament reconstruction and tendon interposition arthroplasty
Relative Value Units (RVU):
The RVUs associated with this code are 11.85.
How This Procedure Appears:
- Operating Room Schedule Name: Wrist Joint Repair with Tendon Graft or CMC Arthroplasty
- Surgical Consent Form Name: Wrist Reconstruction including Tendon Transfer
Typical Patients and Diagnoses:
This procedure is often undertaken by patients experiencing significant wrist pain due to arthritis or injury, particularly when other treatments have not provided relief. Common candidates include older adults with degenerative conditions or individuals with traumatic wrist injuries leading to joint instability.
Associated ICD-10 Codes:
- M19.031: This code indicates primary osteoarthritis in the wrist, a common issue where joint tissue breaks down over time, causing pain and reduced movement.
- M18.9: Represents osteoarthritis in unspecified wrist joints, often involving wear-and-tear arthritis that commonly affects these areas.
- S63.501A: Indicates an unspecified sprain of a wrist joint, possibly sustained through an accident or repetitive stress.
Summary
In summary, code 25448 describes a surgery to repair wrist joints by relocating tendons to strengthen the area. Typical ICD-10 codes associated with 25448 include M19.031 (primary osteoarthritis of wrist) and M18.9 (unspecified osteoarthritis of wrist).
Disclaimer
This post is for informational purposes only and is not a substitute for medical advice. “CPT” and CPT Codes are registered trademarks of the American Medical Association. HCPCS codes are managed by Medicare and are not subject to copyright.