CPT® Code 25810

The procedure described by CPT® Code 25810 refers to an arthrodesis of the wrist, which is a surgical technique aimed at fusing the bones of the wrist joint to alleviate pain and restore function. This procedure involves the use of an autograft, which is a piece of bone taken from the patient's own body, typically from the iliac crest, to facilitate the fusion process. The surgery begins with a midline incision on the posterior aspect of the wrist, allowing access to the radiocarpal joint and the distal radioulnar joint (DRUJ). During the operation, careful attention is given to protect the superficial branch of the radial nerve, which is crucial for maintaining wrist and hand function. The surgical approach includes identifying the interval between the first and second dorsal compartments and incising the dorsal carpal ligament while preserving its attachment to the radius. This step is essential for gaining access to the underlying structures. The extensor carpi radialis longus tendon is sectioned to further expose the joint capsule, allowing for the removal of articular cartilage from the radiocarpal joint. The harvested bone autograft is then shaped appropriately and placed across the joints to promote fusion. The procedure concludes with securing the graft using a Kirschner wire, suturing the dorsal carpal ligament over the graft, and closing the surgical wound in layers, followed by immobilization of the wrist in a long arm cast. This comprehensive approach aims to achieve a stable and pain-free wrist joint through the fusion of the involved bones.