Our surgeon documented an interposition arthroplasty and removal of both the trapezoid and trapezium bones. I reported CPT code 25447 for the arthroplasty and 25210-59 for the removal of the trapezoid (in this case the second bone). I know CPT code 25447 includes the removal of one bone but not both. I coded this according to CPT rules as the patient is not Medicare.

Neb colletssizes

We carry Morse taper, R8, 5C, 3C, ER and Brown & Sharpe collets. All our Morse taper and Brown & Sharpe collets are available individually as well as in sets.

Neb colletsfor sale

KZA recommends you appeal using the AAOS Global Service Data Guide summary for CPT code 25447. It specifically states that the removal of either the trapezium or trapezoid is included in CPT code 25447. The key is the term “or”. Bone bones are not typically removed, and removal of the second bone requires additional work for the surgeon.