Doctor is doing a "Carpometacarpal Resection ARthroplasty w/pinning". He does a capsulotomy and excises the trapezium but does not insert a prosthesis or perform a tendon transfer. The thumb metacarpal is fixed to the adjacent second metacarpal using a percutaneously placed k-wire. Would this be a reduced service 25447 or just a carpectomy with pinning? Thanks.