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Thread: Reconstruction CMC thumb

  1. #1

    Talking Reconstruction CMC thumb

    AAPC: Back to School
    Doctor states he is doing a "reconstruction" of the CMC thumb. Trying to get auth from
    insurance so I need code(s). I started to use 25447, however that states arthroplasty.
    I know when we get operative report, it will be more specific, so we will be able to code accordingly, but I would like to be able to give something to the insurance that would be
    somewhat accurate. Has anyone heard of reconstruction of CMC thumb? I would appreciate any suggestions. I don't expect pinpoint accuracy until I get an operative report, but would appreciate suggestions for the here and now.
    thank you

  2. #2


    My coder's dictionary defines arthroplasty as "surgical reconstruction of a joint to improve function and reduce pain". I agree with your choice of 25447.

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