AAPC - Back to school
Results 1 to 7 of 7

Thread: Help with a CPT Code for the wrist

  1. #1

    Default Help with a CPT Code for the wrist

    AAPC: Back to School

    I was hoping for some suggestions on a cpt code, the Doctor excised the hook of the hamate of the left wrist. I look forward to any opinions on this one.


  2. #2
    Join Date
    Apr 2007


    look at 25210 as the hamate is a bone in the wrist, not sure what other code would work for this. hope this helps.
    wondering if you should use a 52 modifier if he excised the "hook" of the hamate and not the whole bone.
    Last edited by michellelgrd; 09-02-2009 at 03:49 PM.

  3. #3
    Join Date
    Apr 2007


    It may depend on why the hook was excised. If it was for exostosis and it's really just the hooklike process then 25130 may be correct. 25210 would apply if the entire carpal bone is excised. Thanks.

  4. #4


    The procedure was performed for a nonunion of the hamate.

  5. #5
    Join Date
    Apr 2007


    i would still use 25210 and append 52 (reduced services)since only a portion of the bone was excised.

    can you post the op report a little confused on why he chose to excise the bone instead of repairing it?
    Last edited by michellelgrd; 09-03-2009 at 12:17 PM.

  6. #6
    Join Date
    Apr 2007
    Nashville AAPC Chapter


    I happend to run across some good information regarding the Excision of the hook of hamate and just wanted to share.

    Per 2011 Ingenix Procedures book
    For hook of hte hamte fractrue, the physician makes an incision over the ulnar aspect ofthe wrist......
    ....., or the hook is excised.

    Not sure the 25210 - 52 would be appropriate/correct.

  7. #7
    Join Date
    Apr 2007


    what about 25431 repair non union carpal bone(s)

Similar Threads

  1. Wrist Sprain now Wrist Fracture
    By CMW in forum Orthopaedics
    Replies: 0
    Last Post: 09-24-2014, 10:55 AM
  2. CPT code for Silastic implant and wrist arthrodesis
    By LStana in forum Orthopaedics
    Replies: 0
    Last Post: 05-09-2012, 09:38 AM
  3. Code for dynamic fluroscopy for wrist
    By tpequeno in forum Interventional Radiology
    Replies: 0
    Last Post: 09-22-2011, 11:42 AM
  4. Overread CPT code 76140 vs Original CPT code
    By nperry@umc.edu in forum Medical Coding General Discussion
    Replies: 4
    Last Post: 06-23-2011, 07:19 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.