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The procedure described by CPT® Code 24925 refers to an amputation of the arm through the humerus, specifically focusing on secondary closure or scar revision. This surgical intervention is typically performed following a previous above-elbow amputation. The primary goal of this procedure is to create a pain-free stump that is adequately covered with normal skin, allowing for optimal functionality with a prosthesis. In the context of secondary closure, the surgeon will first debride the raw surface of the stump, which involves the careful removal of any dead or devitalized tissue. This step is crucial to promote healing and prevent complications. Following debridement, skin and subcutaneous tissue are meticulously fashioned into flaps that are then used to cover the stump. It is essential during this process to ensure that there is no undue tension along the suture line, as this can lead to complications such as delayed healing or scar formation. In cases where scar revision is necessary, the procedure involves excising the existing scar tissue. The surgeon will also fashion skin flaps and undermine the edges to facilitate a smooth and tension-free approximation of the skin along the suture line, ultimately enhancing the aesthetic and functional outcomes of the amputation site.
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The procedure described by CPT® Code 24925 is indicated for patients who have undergone an above-elbow amputation through the humerus and are experiencing complications or dissatisfaction with the current stump condition. The specific indications for this procedure include:
The procedural steps for CPT® Code 24925 are as follows:
Post-procedure care for patients undergoing CPT® Code 24925 includes monitoring the surgical site for signs of infection, ensuring proper wound care, and managing pain effectively. Patients are typically advised on how to care for the sutures and may be instructed to avoid certain activities that could stress the healing area. Follow-up appointments are essential to assess the healing process and to determine the readiness for prosthetic fitting, if applicable. The expected recovery time may vary based on individual healing rates and the extent of the procedure performed.
| Short Descr | AMPUTATION FOLLOW-UP SURGERY | Medium Descr | AMP ARM THRU HUMERUS SECONDARY CLSR/SCAR REVJ | Long Descr | Amputation, arm through humerus; secondary closure or scar revision | Status Code | Active Code | Global Days | 090 - Major Surgery | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 1 - 150% payment adjustment for bilateral procedures applies. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 2 - Payment restriction for assistants at surgery does not apply to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Hospital Part B services paid through a comprehensive APC | ASC Payment Indicator | Surgical procedure on ASC list in CY 2007; payment based on OPPS relative payment weight. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P3D - Major procedure, orthopedic - other | MUE | 1 | CCS Clinical Classification | 164 - Other OR therapeutic procedures on musculoskeletal system |
| 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 58 | Staged or related procedure or service by the same physician or other qualified health care professional during the postoperative period: it may be necessary to indicate that the performance of a procedure or service during the postoperative period was: (a) planned or anticipated (staged); (b) more extensive than the original procedure; or (c) for therapy following a surgical procedure. this circumstance may be reported by adding modifier 58 to the staged or related procedure. note: for treatment of a problem that requires a return to the operating/procedure room (eg, unanticipated clinical condition), see modifier 78. | 78 | Unplanned return to the operating/procedure room by the same physician or other qualified health care professional following initial procedure for a related procedure during the postoperative period: it may be necessary to indicate that another procedure was performed during the postoperative period of the initial procedure (unplanned procedure following initial procedure). when this procedure is related to the first, and requires the use of an operating/procedure room, it may be reported by adding modifier 78 to the related procedure. (for repeat procedures, see modifier 76.) | AS | Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery | GC | This service has been performed in part by a resident under the direction of a teaching physician | LT | Left side (used to identify procedures performed on the left side of the body) | RT | Right side (used to identify procedures performed on the right side of the body) | XU | Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service |
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| Pre-1990 | Added | Code added. |
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