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CPT 25800: Wrist Arthrodesis Without Bone Graft
CPT code 25800 denotes wrist arthrodesis performed without a bone graft, a definitive surgical option to fuse wrist bones for pain relief, stabilization, or deformity correction. Nationally, this code captures an important set of upper-extremity orthopedic interventions with implications for surgical utilization, perioperative planning, and post-acute care pathways.
Key payers covered in this overview include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise clinical and coding description, typical sites of service, and the kinds of benchmarks and policy considerations that commonly inform coverage and payment: utilization benchmarks for wrist fusion procedures, common modifier patterns and billing considerations, and clinical context for when fusion without bone graft is indicated.
This publication provides practical reference material for billing and coding teams, revenue cycle managers, and policy analysts seeking a national perspective on CPT code 25800. It summarizes where the procedure is typically performed, who pays for it at scale, and what areas—such as coding specificity and documentation—warrant attention in payer contracts and policy updates.
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Billing Code Overview
CPT code 25800 describes surgical fusion of wrist joints performed without the use of a bone graft. The procedure involves stabilizing and permanently joining wrist bones to relieve pain, correct deformity, or restore function when conservative treatments have failed.
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Service type: Surgical musculoskeletal procedure (wrist arthrodesis)
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Typical site of service: Hospital inpatient or outpatient surgical center; ambulatory surgery setting is common for elective wrist fusion procedures
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