CPT® Code 25337

Reconstruction for stabilization of unstable distal ulna or distal radioulnar joint, secondary by soft tissue stabilization (eg, tendon transfer, tendon graft or weave, or tenodesis) with or without open reduction of distal radioulnar joint

The procedure described by CPT® Code 25337 involves the reconstruction of the wrist to stabilize an unstable distal ulna or distal radioulnar joint. This instability may arise following previous surgical interventions aimed at repairing traumatic injuries or addressing degenerative conditions such as rheumatoid arthritis, gout, or osteoarthritis. The reconstruction utilizes soft tissue stabilization techniques, which can include methods such as tendon transfer, tendon grafting, weaving, or tenodesis. These techniques are designed to restore stability to the wrist by reinforcing the affected joint structures. A common approach within this procedure is the flexor carpi ulnaris tenodesis, which involves specific surgical steps to manipulate the flexor carpi ulnaris tendon to enhance joint stability. The complexity of the procedure allows for variations based on the individual patient's needs and the specific anatomical considerations of the wrist. Overall, this reconstruction aims to alleviate pain and improve function by addressing the underlying instability of the distal ulna or radioulnar joint.