CPT Code 25393 | Description & Clinical Information
CPT 25393 describes a surgical procedure in which the provider makes incisions through the radius and ulna, and then attaches extra pieces of bone grafts harvested from the patient’s body to extend the length of both bones.
Official Description
The CPT book defines CPT code 25393 as: “Osteoplasty, radius AND ulna; lengthening with autograft”.
Clinical Information
The procedure described by CPT code 25393 is a highly specialized surgical technique that aims to repair bone defects in the radial and ulnar shafts of the forearm. Typically performed under general anesthesia, the procedure involves making a long incision over the affected area to expose the bone.
To avoid undue damage to nerves and blood vessels surrounding the bone, the surgeon takes great care to retract these structures before proceeding. Once the bone is adequately exposed, the surgeon cuts through both the radius and ulna bones, typically at the shaft areas.
One of the unique aspects of this procedure is the creation of a space between the two bones by pulling them apart. This space provides the surgeon with the opportunity to insert bone grafts, which will ultimately help to promote the growth of new bone tissue.
To ensure proper placement of the bone grafts and adequate fixation of the bones, the surgeon may use screws and plates or pins to hold everything in place. Following this, the surgical site is irrigated to prevent infection, and the incision is closed up in layers.
Finally, the patient’s arm is immobilized with a splint to allow for proper healing. While the procedure described by CPT code 25393 is highly effective, patients should be aware that it may take several months for their bones to fully heal and restore normal function to the affected area.
