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Arthroplasty with prosthetic replacement of the distal radius, as described by CPT® Code 25441, is a surgical procedure aimed at replacing the distal end of the radius bone in the forearm with a prosthetic implant. This procedure is typically indicated for patients suffering from severe conditions affecting the wrist joint, such as advanced arthritis, trauma, or other degenerative diseases that compromise the function and integrity of the distal radius. The surgery involves making a precise incision along the posterior aspect of the wrist, allowing the surgeon to access the radiocarpal joint and the distal radioulnar joint (DRUJ). During the operation, careful attention is given to protecting the surrounding nerves and tendons, ensuring that the surgical field is clear for the excision of the damaged bone and the placement of the prosthetic component. The procedure is designed to restore wrist function, alleviate pain, and improve the overall quality of life for patients with significant wrist joint issues.
© Copyright 2025 Coding Ahead. All rights reserved.
The procedure of arthroplasty with prosthetic replacement of the distal radius is indicated for various conditions that severely affect the wrist joint. These include:
The surgical procedure for arthroplasty with prosthetic replacement of the distal radius involves several critical steps:
After the completion of the arthroplasty with prosthetic replacement of the distal radius, patients typically undergo a recovery period that may involve immobilization of the wrist to allow for healing. Post-operative care includes monitoring for any signs of complications, such as infection or improper healing of the surgical site. Patients may also be advised on rehabilitation exercises to restore mobility and strength in the wrist. Follow-up appointments are essential to assess the function of the prosthetic component and to ensure that the wrist is healing appropriately.
| Short Descr | ARTHRP W/PROSTC DSTL RDS | Medium Descr | ARTHROPLASTY W/PROSTHETIC RPLCMT DISTAL RADIUS | Long Descr | Arthroplasty with prosthetic replacement; distal radius | 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) | P3D - Major procedure, orthopedic - other | MUE | 1 | CCS Clinical Classification | 154 - Arthroplasty other than hip or knee |
| 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). | 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.) | 80 | Assistant surgeon: surgical assistant services may be identified by adding modifier 80 to the usual procedure number(s). | AQ | Physician providing a service in an unlisted health professional shortage area (hpsa) | AS | Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery | F5 | Right hand, thumb | 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) | XS | Separate structure, a service that is distinct because it was performed on a separate organ/structure |
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| 2025-01-01 | Changed | Short Description changed. |
| Pre-1990 | Added | Code added. |
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