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    OpenPayerBilling CodesAmputation Procedures on the Humerus (Upper Arm) and ElbowCPT cpt-24925-upper-limb-amputation-site-soft-tissue-remodeling
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    CPT 24925: Remodeling of Amputated Upper Limb Stump

    Medicare pays $557 on average nationally for this procedure.

    CPT code 24925 describes a surgical procedure to remodel the skin and muscle of a previously amputated upper limb stump to correct improper closure or relieve pain from contracture; this is a reconstructive/soft-tissue revision service typically performed in an operating room or surgical suite and classified as an inpatient or outpatient surgical procedure depending on clinical circumstances.

    For related coverage guidance, see recent payer policy updates: Orthopedic Joint Procedures of the Knee for Managed Medicaid (MMC), Health and Recovery Plan (HARP), Child Health Plus (CHP), and Essential Plan (EP) Members, Autologous Chondrocyte Transplantation or Implantation Corporate Medical Policy, Autologous Platelet-Derived Growth Factors (Platelet-Rich Plasma [PRP]).

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    Clinical & Coding Specifications

    Clinical Context

    A 52-year-old male with a below-elbow amputation of the dominant right arm presents to the outpatient surgical clinic with persistent painful neuroma formation, scar contracture, and poorly fitting soft-tissue envelope at the distal stump interfering with prosthetic use. The patient reports localized deep stump pain exacerbated by prosthesis wear and limited range of motion of adjacent joints due to scar contracture. Physical exam demonstrates tethered scar, prominence of a painful neuroma, and inadequate soft-tissue padding over the distal residual limb. Prior attempts at conservative management (stump desensitization, prosthetic modification, and local steroid injection) were unsuccessful.

    The clinical workflow includes preoperative evaluation and informed consent, review of prior operative reports, possible ultrasound or MRI to localize neuromas, perioperative antibiotics as indicated, and scheduling in an ambulatory surgical center or hospital outpatient department. Under regional or general anesthesia, the surgeon performs revision amputation and soft-tissue remodeling of the residual limb: excision of neuroma, release of contracture, scar revision, recontouring of skin and muscle to improve padding and prosthetic fit, and layered closure. Postoperative care includes wound checks, dressing changes, pain control, and early prosthetic rehabilitation and occupational therapy for stump shaping and desensitization.

    Related CPT Codes

    CPT CodeDescriptionRelationship to This Procedure
    24925Revision of amputation stump, upper arm; remodeling of skin and muscle structures of an already amputated upper limbPrimary procedure description for stump remodeling to address poor closure, painful contracture, or neuroma-related pain.
    64718Excision or transposition of peripheral nerve for neuroma, single; (e.g., neuroma excision)May be performed concurrently or as part of 24925 when neuroma excision or nerve management is required.
    13131Secondary repair, trunk, arms and/or legs; complex, 1.1 cm to 2.5 cmUsed for complex layered scar revision when smaller localized flap/complex closure techniques are required adjunctively.
    15271Split-thickness autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body areaMay be used when additional soft-tissue coverage via grafting is needed after excision and remodeling.
    20610Arthrocentesis, aspiration and/or injection; major joint or bursa (e.g., for diagnostic local anesthetic or steroid injection pre-op)May be used preoperatively for diagnostic or therapeutic injections in adjacent joints as part of overall management.
    29580Application of short arm cast (forearm to hand)May be used postoperatively for immobilization of the residual limb if clinically indicated.

    Related Modifiers

    5 rows

    ModifierDescriptionWhen to Use
    22Modifier –22 (Increased Procedural Services) is used when a reported procedure is substantially more extensive than normally required. The CPT Manual and CMS state it may be appended only when the…- When to use: Append modifier -22 to a procedural CPT code when the service performed is substantially more extensive than the usual service described by that code — i.e., the procedure required…
    52Modifier ‑52 (Reduced Services) indicates that a service or procedure was partially reduced or omitted at the provider’s discretion, allowing reporting of the basic procedure number with a qualifier…- Use modifier -52 when a physician or qualified health professional electively reduces or omits part of a procedure or service (for example, performing fewer required views or omitting a portion of…
    53Modifier 53 (Discontinued Procedure) signals that a surgical or diagnostic service was begun by the physician but terminated because of extenuating circumstances that threatened the patient’s…- Use modifier -53 when a physician/qualified healthcare professional has started a surgical or diagnostic procedure (e.g., anesthesia administered, incision or scope insertion) and then discontinues…
    62Modifier 62 indicates that two surgeons function as co‑surgeons, each performing distinct parts of the same primary surgical procedure. It is appended to the primary procedure code (and any…- Use modifier -62 when two surgeons act as co‑surgeons (both primary surgeons) on a single definitive primary procedure, each performing distinct parts of the same surgical procedure (append -62 to…
    P6Modifier P6 indicates a declared brain‑dead patient whose organs are being removed for donor purposes. It is part of the Anesthesia Physical Status Modifiers (P1–P6) and corresponds to ASA VI. The…- When to use: Append CPT modifier P6 to anesthesia codes in the 00100–01999 range when the anesthesia provider documents a declared brain‑dead patient whose organs are being removed for donor…

    Related Provider Taxonomies

    8 rows

    Taxonomy Code
    208000000X
    208M00000X
    208800000X
    213E00000X
    207L00000X
    156FC0800X
    208C00000X
    261QP2400X

    Related Payer Policy Updates

    Specialty: Orthopedics/Musculoskeletal1 / 3

    10 rows

    PolicyPayerEffective Date
    Orthopedic Joint Procedures of the Knee for Managed Medicaid (MMC), Health and Recovery Plan (HARP), Child Health Plus (CHP), and Essential Plan (EP) Membersuniverahealthcare2027-01-01
    Autologous Chondrocyte Transplantation or Implantation Corporate Medical Policybcbsvermont2026-12-01
    Autologous Platelet-Derived Growth Factors (Platelet-Rich Plasma [PRP])Cigna2026-10-15
    Metatarsophalangeal Joint ReplacementCigna2026-10-15
    Shoulder Arthroplasty (Total, Partial, Reverse, Revision and Resurfacing)univerahealthcare2026-10-15
    Hip Arthroplasty (partial and total hip replacement)univerahealthcare2026-10-15
    Artificial Lumbar Intervertebral Disc (Lumbar Total Disc Arthroplasty)univerahealthcare2026-10-15
    Osteochondral Grafting of the Kneeuniverahealthcare2026-10-15
    Metal-on-Metal Total Hip Resurfacinguniverahealthcare2026-10-15
    Lumbar Fusion (arthrodesis) with decompressionuniverahealthcare2026-10-15

    Related Codes

    CPT-24900-UPPER-ARM-AMPUTATION-THROUGH-HUMERUS

    CPT 24900: Upper Arm Amputation Through Humerus

    CPT-24920-HUMERUS-OSTEOTOMY-COMPLETE-TRANSVERSE-CUT

    CPT 24920: Transverse Osteotomy of Humerus, Open Saw Technique

    CPT-24930-HUMERAL-STUMP-REVISION-AMPUTATION-RESECTION

    CPT 24930: Additional Shortening of Already Amputated Humerus

    CPT-24931-UPPER-ARM-AMPUTATION-WITH-IMPLANTATION

    CPT 24931: Transhumeral Amputation with Implant Placement

    CPT-24935-UPPER-LIMB-LENGTHENING-WITH-BONE-GRAFT

    CPT 24935: Upper Limb Lengthening with Bone Graft

    CPT-24940-UPPER-EXTREMITY-MUSCLE-LOOP-PROSTHETIC-INTERFACE

    CPT 24940: Myoplasty With Muscle Loop for Prosthetic Control

    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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