CPT® Code 25393

The procedure described by CPT® Code 25393 involves osteoplasty of the radius and ulna, specifically focusing on lengthening these bones through the use of an autograft. Osteoplasty refers to a surgical procedure aimed at reshaping or reconstructing bone. In this case, the surgeon performs a lengthening procedure, which is the opposite of shortening, as indicated in the related code 25392. Prior to the surgical intervention, the physician utilizes radiographic studies to determine the precise locations for bone cuts, ensuring that the procedure achieves the desired lengthening effect. During the surgery, the radius and ulna are surgically exposed, allowing the surgeon to make the necessary incisions. The procedure involves cutting both bones and distracting them to create space for the autograft, which is typically harvested from the iliac crest. This harvested bone is then shaped and used to fill the gaps created by the distraction. The procedure may also involve the application of internal fixation devices, such as pins, screws, or plates, to maintain the anatomical alignment of the bones during the healing process. Alternatively, an external fixation device may be utilized to stabilize the bones externally. This comprehensive approach ensures that the bones are properly lengthened and secured, facilitating optimal recovery and function.