CPT® Code 25394

Osteoplasty of the carpal bone, specifically the procedure denoted by CPT® Code 25394, involves the surgical shortening of one of the carpal bones in the wrist. This intervention is typically performed to correct a malformation or malalignment within the wrist joint, which may lead to functional impairments or discomfort. Prior to the surgical procedure, the physician utilizes radiographic studies to accurately determine the precise locations for bone cuts, ensuring that the surgical approach is well-planned and targeted. The operation begins with a dorsal incision made over the specific carpal bone that requires shortening. This incision allows access to the underlying structures, including the retinaculum, which is incised, and the tendons, which are retracted to provide a clear view of the wrist capsule. The capsule is then opened to expose the affected carpal bone, allowing for further surgical manipulation. The use of Kirschner wires may be employed to stabilize the bone during the procedure, with fluoroscopic imaging utilized to confirm the correct positioning of these wires. The actual shortening of the carpal bone is achieved through the use of surgical instruments such as a drill, saw, or osteotome, which excises a portion of the bone. After the necessary bone shortening is completed, the remaining segments of the carpal bone are reapproximated and secured using various fixation methods, including wires, staples, or other internal fixation devices. Finally, the joint capsule and the overlying soft tissues are meticulously closed in layers to promote optimal healing and recovery.