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CPT 25300: Flexor Tendon Anchoring to Wrist Bone
CPT code 25300 represents surgical anchoring of flexor tendons of the fingers to bone in the wrist to restore normal hand motion. Nationally, this procedure matters because it addresses functional loss from tendon ruptures, avulsions, or severe hand injuries that impair grip and dexterity. Surgical repair and tendon anchoring are integral to hand surgery, rehabilitation planning, and postoperative care pathways across inpatient and outpatient surgical settings.
Key payers typically involved in coverage and payment for this service include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a practical overview of clinical context for the procedure, typical sites of service, and the core elements that influence billing and authorization. The publication also outlines benchmarks for utilization and payment patterns where available, summarizes relevant policy considerations that payers commonly apply to operative tendon repairs, and highlights coding and documentation issues that affect claims adjudication.
This executive summary prepares clinicians, billing staff, and policy analysts to interpret how CPT code 25300 is applied in surgical practice, what to expect in payer interactions, and which aspects of clinical documentation are most relevant for coverage and accurate claim submission.
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Billing Code Overview
CPT code 25300 describes a surgical procedure in which the provider anchors flexor tendons of the fingers to bone in the wrist to restore normal hand motion. This procedure involves reattaching or securing tendon tissue to bony structures to re-establish functional flexion of the fingers.
Service Type: Surgical — tendon repair/reattachment of the hand/wrist
Typical Site of Service: Operating room or ambulatory surgery center
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