CPT® Code 25259

Manipulation under anesthesia (MUA) of the wrist is a specialized procedure aimed at enhancing the range of motion in patients who have developed fibrous adhesions, also known as arthrofibrosis, following surgical interventions or fractures in the wrist area. This condition can lead to stiffness and limited mobility, significantly impacting a patient's ability to perform daily activities. During the procedure, an anesthetic is administered to ensure that the patient remains comfortable and pain-free while the physician manipulates the wrist. The physician carefully guides the wrist through its complete range of motion, which includes movements such as flexion (bending the wrist), hyperextension (extending the wrist beyond its normal range), radial deviation (moving the wrist towards the thumb side), and ulnar deviation (moving the wrist towards the little finger side). It is crucial for the physician to apply sufficient force to effectively rupture the fibrous adhesions, while simultaneously exercising caution to avoid excessive force that could potentially harm the joint structures or bones. This delicate balance is essential for achieving the desired outcome of improved mobility and function in the wrist.