2025 CPT code 25441

Arthroplasty with prosthetic replacement of the distal radius.

Refer to CPT coding guidelines for specific instructions on coding this procedure and any associated services.

Modifiers may be applicable to indicate specific circumstances, such as increased procedural services (22), bilateral procedures (50), or reduced services (52). Consult modifier guidelines for appropriate usage.

Medical necessity for this procedure must be clearly documented. This typically includes evidence of functional impairment, pain that is unresponsive to conservative treatment, and a clear diagnosis supporting the need for surgical intervention.

The surgeon performs the procedure under anesthesia.They make an incision, expose the distal radius, remove the damaged bone, and prepare the site for the prosthesis. The prosthesis is then inserted and secured, often with screws or bone cement. The surrounding tissues are repaired, and the incision is closed. Post-operative care includes pain management, monitoring for complications, and rehabilitation.

In simple words: This surgery replaces the end of your forearm bone closest to your wrist (the distal radius) with an artificial joint. The damaged bone is removed, and the new joint is put in place. This helps improve wrist movement and reduce pain.

This procedure involves the surgical replacement of the distal radius with a prosthesis. It includes the excision of the damaged or diseased bone and the insertion and fixation of the prosthetic implant.The procedure aims to restore wrist joint function, alleviate pain, and improve mobility. It's often used in cases of severe fractures, arthritis, or tumors affecting the distal radius.

Example 1: A patient with a comminuted distal radius fracture that cannot be adequately repaired with traditional methods., A patient with severe arthritis of the wrist joint that causes significant pain and disability., A patient with a giant cell tumor of the distal radius requiring resection and reconstruction.

Documentation should include details of the condition necessitating the procedure (e.g., fracture, arthritis, tumor), the type of prosthesis used, the surgical technique employed, and any complications encountered. Pre- and post-operative imaging studies, such as X-rays or CT scans, should also be included.

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