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The procedure described by CPT® Code 25391 refers to osteoplasty of the radius or ulna, specifically focusing on lengthening the bone using an autograft. Osteoplasty is a surgical intervention aimed at reshaping or reconstructing bone structures. In this case, the procedure is performed on either the radius or ulna, which are the two long bones in the forearm. The goal of this surgery is to lengthen the bone, which may be necessary due to various conditions such as congenital deformities, trauma, or other orthopedic issues that result in a need for bone lengthening. Prior to the surgical intervention, the physician utilizes radiographic studies to precisely determine the locations for bone cuts, ensuring that the procedure is executed with accuracy. During the surgery, the bone is exposed, and specific cuts are made to facilitate the lengthening process. An autograft, typically harvested from the iliac crest, is used to fill the defect created by the bone distraction. This autograft serves as a biological scaffold that promotes healing and bone regeneration. The procedure may also involve the application of internal fixation devices, such as pins, screws, or plates, to maintain the proper alignment of the bone during the healing process. Alternatively, an external fixation device may be utilized to stabilize the bone. Overall, this procedure is a complex surgical technique that requires careful planning and execution to achieve the desired outcome of bone lengthening.
© Copyright 2025 Coding Ahead. All rights reserved.
The procedure described by CPT® Code 25391 is indicated for various conditions that necessitate the lengthening of the radius or ulna. These indications may include:
The procedure for CPT® Code 25391 involves several critical steps to achieve the desired lengthening of the radius or ulna. These steps include:
After the completion of the osteoplasty procedure, the patient will require specific post-operative care to ensure proper healing and recovery. This may include monitoring for any signs of infection, managing pain, and ensuring that the surgical site remains clean and dry. The patient may also need to follow a rehabilitation program that includes physical therapy to restore function and strength to the affected limb. Follow-up appointments will be necessary to assess the healing process and to make any adjustments to the fixation devices if used. The expected recovery time can vary based on individual factors, including the extent of the procedure and the patient's overall health.
| Short Descr | LENGTHEN RADIUS OR ULNA | Medium Descr | OSTEOPLASTY RADIUS/ULNA LENGTHENING W/AUTOGRAFT | Long Descr | Osteoplasty, radius OR ulna; lengthening with autograft | 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) | 1 - Co-surgeons could be paid, though supporting documentation is required... | 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 | Device-intensive procedure added to ASC list in CY 2008 or later; paid at adjusted rate. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P5B - Ambulatory procedures - musculoskeletal | MUE | 1 | CCS Clinical Classification | 161 - Other OR therapeutic procedures on 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). | 52 | Reduced services: under certain circumstances a service or procedure is partially reduced or eliminated at the discretion of the physician or other qualified health care professional. under these circumstances the service provided can be identified by its usual procedure number and the addition of modifier 52, signifying that the service is reduced. this provides a means of reporting reduced services without disturbing the identification of the basic service. note: for hospital outpatient reporting of a previously scheduled procedure/service that is partially reduced or cancelled as a result of extenuating circumstances or those that threaten the well-being of the patient prior to or after administration of anesthesia, see modifiers 73 and 74 (see modifiers approved for asc hospital outpatient use). | 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. | 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 | 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) |
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