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CPT 25915: Forearm Stump Pincer-Grasp Reconstruction
CPT code 25915 describes a specialized surgical reconstruction performed on an upper-extremity amputation stump to separate the ulna and radius and create a pincer-like grasp driven by the pronator teres muscle. The code captures procedures aimed at restoring prehension and improving functional outcomes for patients with forearm amputations. Nationally, this code matters because it represents complex reconstructive surgery with implications for surgical coding, coverage determinations, and post-operative rehabilitation pathways.
Key payers referenced in standard analyses 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 types of billing considerations that commonly accompany reconstructive upper-extremity amputation procedures. The publication also outlines expected benchmarks where available, common modifier usage provided in the input, and implementation considerations relevant to surgeons, coders, and payers. The content is intended to clarify what CPT code 25915 represents, why it is billed, and what stakeholders should note about service delivery and coding classification. Data not available in the input: specific associated taxonomies, ICD-10 diagnoses, related codes, payer-specific coverage policies, and service-line financial benchmarks.
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Billing Code Overview
CPT code 25915 describes a surgical procedure in which the provider separates the ulna and radius bones of a forearm stump remaining after amputation to create a pincer- or forceps-like grasp controlled by the pronator teres muscle. This procedure is a form of reconstructive or functional amputation revision intended to improve prehension and prosthetic or native limb utility.
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Service type: Surgical reconstruction of an upper-extremity amputation stump to create a functional pincer grasp.
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Typical site of service: Hospital operating room or ambulatory surgical center, depending on clinical status and perioperative needs.