How To Use CPT Code 25909

CPT 25909 describes the re-amputation of the forearm through the radius and ulna. 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 25909?

CPT 25909 is used to describe the re-amputation of the forearm through the radius and ulna. This procedure is performed when an additional length needs to be removed from the already amputated bones due to non-healing or when the existing stump is not suitable for fitting a prosthesis.

2. Official Description

The official description of CPT code 25909 is: ‘Amputation, forearm, through radius and ulna; re-amputation.’

3. Procedure

1. The patient is appropriately prepped and anesthetized.
2. An incision is made over the predetermined location on the amputated limb.
3. The incision is extended down to the level of the bone.
4. Blood vessels are ligated, and nerves are retracted.
5. The additional section of forearm bones is cut, and the edges are smoothed with an electric burr.
6. Muscles and skin are cut, leaving enough margin to cover the wound.
7. The wound is covered with muscle, and sutures are used to close the wound and fascia.
8. The skin is closed with sutures after placing a drain, if necessary.

4. Qualifying circumstances

CPT 25909 is performed when there is a need to remove an additional length from the already amputated forearm bones. This may be due to non-healing or when the existing stump is not suitable for fitting a prosthesis.

5. When to use CPT code 25909

CPT code 25909 should be used when a re-amputation of the forearm through the radius and ulna is performed. It is important to ensure that the procedure meets the specific criteria outlined in the code description.

6. Documentation requirements

To support a claim for CPT 25909, the healthcare professional must document the following information:

• Reason for the re-amputation
• Details of the procedure performed
• Date of the procedure
• Start and end time of the procedure
• Any additional procedures or interventions performed
• Any complications or unexpected findings
• Signature of the healthcare professional performing the procedure

7. Billing guidelines

When billing for CPT 25909, ensure that the procedure meets the specific criteria outlined in the code description. It is important to follow the appropriate coding guidelines and modifiers, if applicable. Additionally, consider any specific billing requirements from the payer or insurance company.

8. Historical information

CPT 25909 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 re-amputation of the forearm through the radius and ulna due to non-healing of the initial amputation site.
2. A patient’s existing stump is not suitable for fitting a prosthesis, necessitating re-amputation of the forearm through the radius and ulna.
3. Following a failed attempt at fitting a prosthesis, a patient undergoes re-amputation of the forearm through the radius and ulna to create a more appropriate stump.
4. A patient with a history of non-healing wounds undergoes re-amputation of the forearm through the radius and ulna to promote better healing and prevent infection.
5. Due to changes in the patient’s condition, a re-amputation of the forearm through the radius and ulna is performed to improve functionality and mobility.
6. A patient with a previous forearm amputation undergoes re-amputation through the radius and ulna to address ongoing pain and discomfort.
7. Following a traumatic injury, a patient undergoes re-amputation of the forearm through the radius and ulna to achieve better functional outcomes.
8. A patient with a history of failed prosthetic fittings undergoes re-amputation of the forearm through the radius and ulna to create a more suitable stump for future prosthetic use.
9. Due to complications from the initial amputation, a patient undergoes re-amputation of the forearm through the radius and ulna to address the underlying issues.
10. A patient with a non-healing wound at the amputation site undergoes re-amputation of the forearm through the radius and ulna to promote better healing and prevent further complications.