© Copyright 2025 American Medical Association. All rights reserved.
The CPT® Code 25125 refers to the surgical procedure involving the excision or curettage of a bone cyst or benign tumor located in the radius or ulna, specifically excluding the head or neck of the radius and the olecranon process. A bone cyst is defined as a fluid-filled space within the bone, which can vary in type. The most common type is the unicameral or simple bone cyst, recognized as a benign lesion. Another type, the aneurysmal bone cyst, is characterized by vascular tissue surrounding a blood-filled cystic lesion. Additionally, there are various benign bone tumors, including giant cell tumors, chondromyxoid fibromas, and enchondromas. During the procedure associated with CPT® Code 25125, an incision is made over the lesion site on the radial or ulnar shaft or the distal radius or ulna. The soft tissues are carefully dissected to expose the lesion. If a cystic lesion is identified, the bone is incised to create a window, allowing access to the cyst. The fluid within the cyst is aspirated for laboratory analysis. A curette is then utilized to remove the lining of the cystic cavity completely. In cases where a benign tumor is present, the lesion is excised along with a margin of healthy bone. Following the excision or curettage, the procedure involves obtaining a healthy bone graft, either from the local area or a separate site, such as the iliac crest. This autograft is then packed into the defect created in the radius or ulna, facilitating proper healing and structural integrity of the bone.
© Copyright 2025 Coding Ahead. All rights reserved.
The procedure described by CPT® Code 25125 is indicated for the treatment of specific conditions related to bone cysts or benign tumors in the radius or ulna. The following are the primary indications for performing this procedure:
The procedure associated with CPT® Code 25125 involves several critical steps to ensure the effective excision or curettage of the bone cyst or benign tumor. The following outlines the procedural steps:
Post-procedure care following the excision or curettage of a bone cyst or benign tumor involves monitoring the surgical site for signs of infection and ensuring proper healing. Patients may be advised to limit movement of the affected limb to facilitate recovery. Follow-up appointments are typically scheduled to assess the healing process and to ensure that the graft is integrating properly with the surrounding bone. Additional imaging studies may be required to evaluate the success of the procedure and to monitor for any recurrence of the cyst or tumor.
| Short Descr | REMOVE/GRAFT FOREARM LESION | Medium Descr | EXC/CURTG CYST/TUMOR RADIUS/ULNA W/AUTOGRAFT | Long Descr | Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon process); with autograft (includes obtaining graft) | 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) | 0 - Payment restriction for assistants at surgery applies 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) | P5B - Ambulatory procedures - musculoskeletal | MUE | 1 | CCS Clinical Classification | 142 - Partial excision bone |
| 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). | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | 80 | Assistant surgeon: surgical assistant services may be identified by adding modifier 80 to the usual procedure number(s). | AS | Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery | F4 | Left hand, fifth digit | F7 | Right hand, third digit | F8 | Right hand, fourth digit | 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) | SG | Ambulatory surgical center (asc) facility service | XS | Separate structure, a service that is distinct because it was performed on a separate organ/structure | XU | Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service |
|
Date
|
Action
|
Notes
|
|---|---|---|
| Pre-1990 | Added | Code added. |
Get instant expert-level medical coding assistance.