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The CPT® Code 25907 refers to the surgical procedure of amputation of the forearm, specifically through the radius and ulna, with a focus on secondary closure or scar revision. This procedure is typically indicated for patients who have previously undergone a below-elbow amputation and are seeking to improve the functionality and appearance of the residual limb. The goal of this intervention is to create a pain-free stump that is adequately covered with healthy skin, allowing for better integration with a prosthetic device. During the secondary closure process, the surgeon meticulously debrides the raw surface of the stump, removing any devitalized tissue to promote healing. The skin and subcutaneous tissue are then skillfully shaped into flaps that are used to cover the stump, ensuring that there is no excessive tension along the suture line, which is crucial for optimal healing. In cases where scar revision is necessary, the procedure involves excising the existing scar tissue, followed by the creation of skin flaps and undermining the edges to facilitate a smooth and tension-free closure. This comprehensive approach not only enhances the aesthetic outcome but also improves the functional capabilities of the stump, ultimately benefiting the patient's quality of life.
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The procedure described by CPT® Code 25907 is indicated for the following conditions:
The procedure involves several critical steps to ensure successful outcomes for the patient.
After the completion of the procedure, the patient will require careful monitoring and post-operative care to ensure proper healing. This may include pain management, wound care instructions, and follow-up appointments to assess the healing process. The surgeon will provide specific guidelines on activity restrictions and care of the surgical site to prevent complications. Patients can expect a gradual recovery, with the goal of achieving a functional and aesthetically pleasing stump that is compatible with prosthetic fitting.
| Short Descr | AMPUTATION FOLLOW-UP SURGERY | Medium Descr | AMP F/ARM THRU RADIUS&ULNA SEC CLOSURE/SCAR RE | Long Descr | Amputation, forearm, through radius and ulna; 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 |
| 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.) | 82 | Assistant surgeon (when qualified resident surgeon not available): the unavailability of a qualified resident surgeon is a prerequisite for use of modifier 82 appended to the usual procedure code 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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| 2013-01-01 | Changed | Medium Descriptor changed. |
| Pre-1990 | Added | Code added. |
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