CPT code 25275 represents surgical repair of an extensor tendon in the forearm or wrist with application of a tissue graft harvested from the patient, used to address a subluxing extensor carpi ulnaris that produces wrist pain. This code captures a reconstructive tendon procedure that combines primary repair and graft augmentation, and it is relevant to orthopedic and hand surgery practices nationwide.

Primary payers in this overview include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise clinical context for the procedure, where it is typically performed, and which payer policies and reimbursement considerations are commonly encountered for tendon reconstruction with grafting.

The publication covers national benchmarks for utilization and reimbursement patterns, typical site-of-service settings, and policy updates that affect coverage and prior authorization for surgical tendon repairs. Clinical implications for patient selection and post‑operative care pathways are summarized to clarify the circumstances in which CPT code 25275 is usually billed. Data limitations: Data not available in the input where payer-specific fee schedules, associated taxonomies, and ICD-10 pairings are concerned.