How To Use CPT Code 25907

CPT 25907 describes the procedure for amputation, specifically for the forearm. 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 25907?

CPT 25907 is used to describe the amputation procedure for the forearm, specifically through the radius and ulna bones. This code is used when the provider performs secondary closure or scar revision on the amputated area. It is important to note that CPT 25907 is not used for the initial amputation, but rather for subsequent procedures to improve the appearance or address complications of the initial amputation.

2. Official Description

The official description of CPT code 25907 is: ‘Amputation, forearm, through radius and ulna; secondary closure or scar revision.’

3. Procedure

1. The patient is appropriately prepped and anesthetized for the procedure.
2. The provider excises any dead skin and granulation tissue around the stump left after the previous amputation of the forearm bones.
3. The blood vessels and nerves inside the wound area are ligated to prevent damage to them.
4. The provider wraps the skin and muscles over the wound.
5. The wound is irrigated with antibiotics to prevent infection.
6. Skin and muscle flaps are created by the provider, which are then pulled over the stump and sutured to cover the wound and improve the appearance.

4. Qualifying circumstances

CPT 25907 is used when there is a need for secondary closure or scar revision following a previous amputation of the forearm bones. This procedure is performed to address complications or improve the appearance of the amputated area. It is important to note that CPT 25907 is not used for the initial amputation, but for subsequent procedures.

5. When to use CPT code 25907

CPT code 25907 should be used when a provider performs secondary closure or scar revision on the forearm following a previous amputation. It is important to ensure that the procedure is specifically for the forearm and involves the radius and ulna bones. If the procedure involves a different part of the body or different bones, a different CPT code should be used.

6. Documentation requirements

To support a claim for CPT 25907, the provider must document the following information:

• Reason for the secondary closure or scar revision
• Details of the procedure performed, including any excisions, ligations, and creation of flaps
• Date of the procedure
• Start and end time of the procedure
• Any complications encountered during the procedure
• Signature of the provider performing the procedure

7. Billing guidelines

When billing for CPT 25907, ensure that the procedure performed is specifically for the forearm and involves the radius and ulna bones. It is important to note that CPT 25907 is not used for the initial amputation, but for subsequent procedures. There are no specific guidelines regarding reporting CPT 25907 with other codes. It is important to follow the documentation requirements and accurately report the procedure performed.

8. Historical information

CPT 25907 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates to the code since its addition.

9. Examples

1. A patient undergoes secondary closure of the forearm stump following an initial amputation.
2. A provider performs scar revision on a patient’s forearm to improve the appearance of the amputated area.
3. A patient experiences pain and contracture in the wound after a forearm amputation, and the provider performs secondary closure to address these issues.
4. A patient’s forearm stump develops complications, and the provider performs scar revision to improve healing and prevent further complications.
5. A provider performs secondary closure on a patient’s forearm stump to address an infection that developed after the initial amputation.
6. A patient undergoes scar revision on their forearm to improve the cosmetic outcome of the amputated area.
7. A provider performs secondary closure on a patient’s forearm stump to address persistent wound healing issues.
8. A patient’s forearm stump develops excessive scar tissue, and the provider performs scar revision to improve mobility and function.
9. A provider performs secondary closure on a patient’s forearm stump to address pain and discomfort caused by improper healing.
10. A patient undergoes scar revision on their forearm to improve the appearance and reduce the visibility of the amputation scar.