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CPT 25905: Circumferential Forearm Transection for Infection Control
CPT code 25905 denotes a circumferential forearm procedure in which the provider completely transects the radius and ulna by running a cutting instrument around the bones and cutting through them. The code captures a major surgical intervention typically performed to control severe infection or to manage nonviable limbs. Nationally, this code represents high-acuity surgical care with significant implications for hospital resource use, postoperative care needs, and coding precision.
Key payers examined in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise clinical context for the procedure, typical sites of service, and the service type. The publication also summarizes payer coverage considerations and commonly reported modifiers associated with high-acuity surgical procedures when data is available. Additionally, the report outlines benchmarks and policy updates relevant to billing and reimbursement for major limb procedures, and it highlights documentation elements that support correct code selection.
This summary is intended for coding professionals, surgical departments, and payer policy teams seeking a national-level overview of CPT code 25905 and its clinical and administrative relevance.
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Billing Code Overview
CPT code 25905 describes a surgical procedure in which the provider completely cuts through the forearm by running a cutting instrument around the radius and ulna in a circular motion and then transecting the bones. The procedure is commonly performed to control infection or to manage a severely compromised limb when preservation is not possible.
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Service type: Surgical amputation / limb salvage procedure
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Typical site of service: Operating room or surgical suite in an inpatient or outpatient hospital setting