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CPT 20805: Replantation of Forearm After Complete Amputation
CPT code 20805 denotes the replantation of a forearm after complete amputation, a complex, major surgical procedure involving reattachment of an amputated forearm. This code represents a high-acuity, resource-intensive intervention with significant implications for surgical staffing, operative time, and post-operative rehabilitation. Nationally, replantation procedures are clinically significant due to their impact on functional recovery, long-term disability, and health system costs.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna, UnitedHealthcare, and Medicare. Readers will find a concise presentation of what the code covers clinically, typical sites of service, and the types of services captured by this code. The publication provides benchmarks and payer coverage context where available, highlights common billing modifiers and administrative considerations, and summarizes relevant policy and coding guidance that affect claims submission and reimbursement processes.
The content is intended for clinicians, billing professionals, and policy analysts seeking a national overview of CPT code 20805, including clinical context, coding scope, and the administrative factors that commonly affect payment and utilization reporting. Data not available in the input is identified explicitly in the appropriate sections.
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Billing Code Overview
CPT code 20805 describes the replantation of a forearm after complete amputation. This is a major, open, invasive surgical procedure to reattach an amputated forearm at the appropriate anatomical level.
Service Type: Major reconstructive/replantation surgery
Typical Site of Service: Inpatient or operating room setting at a hospital or specialized surgical center, where microsurgical and multidisciplinary operative support is available.