How To Use CPT Code 25390

CPT 25390 describes a surgical procedure known as osteoplasty, specifically for the radius or ulna bone. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 25390?

CPT 25390 is a code used to describe a surgical procedure called osteoplasty, which involves the shortening of either the radius or ulna bone. This procedure is performed to reduce the length of the bone and is typically done to correct certain conditions or injuries.

2. Official Description

The official description of CPT code 25390 is: ‘Osteoplasty, radius OR ulna; shortening.’

3. Procedure

1. During the procedure, the patient is appropriately prepped and anesthetized to ensure their comfort and safety.
2. The provider makes an incision over the shaft of either the radius or ulna bone, extending it down to the level of the bone.
3. The nerves and blood vessels are carefully retracted to prevent any damage.
4. The provider then cuts through and removes a section of the bone to achieve the desired shortening.
5. Both ends of the bone are fixed together using plates and screws to ensure stability and proper healing.
6. At the end of the surgery, the operative site is irrigated, sutured, and a drain may be placed if necessary.

4. Qualifying circumstances

CPT 25390 is typically performed on patients who require the shortening of either the radius or ulna bone. This procedure may be necessary to correct certain conditions or injuries, such as bone deformities, fractures, or other abnormalities. The decision to perform osteoplasty and use CPT 25390 is made by the provider based on the patient’s specific circumstances and medical needs.

5. When to use CPT code 25390

CPT code 25390 should be used when a provider performs osteoplasty to shorten either the radius or ulna bone. It is important to accurately document the procedure and use the appropriate code to ensure proper billing and reimbursement.

6. Documentation requirements

To support a claim for CPT 25390, the provider must document the following information:

• Patient’s diagnosis or condition necessitating the osteoplasty
• Details of the procedure, including the specific bone (radius or ulna) and the extent of shortening
• Date of the surgery
• Incision details and any additional procedures performed
• Fixation method used (plates and screws)
• Operative findings, complications, and any additional relevant information
• Signature of the performing provider

7. Billing guidelines

When billing for CPT 25390, ensure that the procedure performed is osteoplasty for either the radius or ulna bone. Follow the appropriate coding guidelines and ensure accurate documentation to support the claim. It is important to review payer-specific guidelines and policies to ensure proper reimbursement.

8. Historical information

CPT 25390 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates or changes to the code since its addition.

9. Examples

1. A patient undergoes osteoplasty of the radius bone to correct a deformity caused by a previous fracture.
2. A provider performs osteoplasty of the ulna bone to address a congenital abnormality in a pediatric patient.
3. An individual undergoes osteoplasty of the radius bone to treat a nonunion fracture that has resulted in bone length discrepancy.
4. A patient with a history of trauma undergoes osteoplasty of both the radius and ulna bones to correct malalignment.
5. A provider performs osteoplasty of the ulna bone to address a bone deformity caused by a chronic condition.
6. An individual undergoes osteoplasty of the radius bone to correct a bone length discrepancy resulting from a growth plate injury.
7. A patient with a history of repetitive stress injury undergoes osteoplasty of the ulna bone to alleviate pain and improve function.
8. A provider performs osteoplasty of the radius bone to address a bone deformity caused by a genetic condition.
9. An individual undergoes osteoplasty of the ulna bone to correct a nonunion fracture that has resulted in limited range of motion.
10. A patient with a history of osteoporosis undergoes osteoplasty of the radius bone to address bone loss and improve bone density.