CPT 25442: Distal Ulna Resection with Implant Replacement
CPT code 25442 represents surgical resection of the distal ulna with replacement by an artificial implant, a specialized orthopedic procedure used to relieve ulnar-sided wrist pain and restore joint function. Nationally, this code matters for surgical practices, hospital billing units, and payers because it involves implantable device charges and operative complexity that affect coverage, prior authorization, and reimbursement rules. Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will learn the clinical context for use of CPT code 25442, typical sites of service, and the payer landscape relevant to this procedure. The publication provides benchmarks and policy-relevant points such as common billing considerations for implant surgeries, expected settings for service delivery, and areas where coverage policies or preauthorization requirements commonly apply. The summary also outlines what to expect in claims processing for procedures involving implants and highlights where payers and providers often need alignment on coding, documentation, and device-related charge reporting. Data not available in the input for specific diagnosis pairings, associated taxonomies, or payer-specific payment rates.
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Billing Code Overview
CPT code 25442 describes a surgical procedure in which the provider removes the distal (lower) end of the ulna and replaces it with an artificial implant. This procedure is a form of wrist/ulnar joint reconstruction intended to address pain, instability, or degenerative disease affecting the ulnar side of the wrist.
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Service type: Surgical/orthopedic reconstructive procedure
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Typical site of service: Hospital operating room or ambulatory surgery center