CPT® Code 25391

The procedure described by CPT® Code 25391 refers to osteoplasty of the radius or ulna, specifically focusing on lengthening the bone using an autograft. Osteoplasty is a surgical intervention aimed at reshaping or reconstructing bone structures. In this case, the procedure is performed on either the radius or ulna, which are the two long bones in the forearm. The goal of this surgery is to lengthen the bone, which may be necessary due to various conditions such as congenital deformities, trauma, or other orthopedic issues that result in a need for bone lengthening. Prior to the surgical intervention, the physician utilizes radiographic studies to precisely determine the locations for bone cuts, ensuring that the procedure is executed with accuracy. During the surgery, the bone is exposed, and specific cuts are made to facilitate the lengthening process. An autograft, typically harvested from the iliac crest, is used to fill the defect created by the bone distraction. This autograft serves as a biological scaffold that promotes healing and bone regeneration. The procedure may also involve the application of internal fixation devices, such as pins, screws, or plates, to maintain the proper alignment of the bone during the healing process. Alternatively, an external fixation device may be utilized to stabilize the bone. Overall, this procedure is a complex surgical technique that requires careful planning and execution to achieve the desired outcome of bone lengthening.