CPT® Code 25830

Arthrodesis, distal radioulnar joint with segmental resection of ulna, with or without bone graft (eg, Sauve-Kapandji procedure)

The CPT® Code 25830 refers to the surgical procedure known as arthrodesis of the distal radioulnar joint, which involves the fusion of this joint along with a segmental resection of the ulna. This procedure may be performed with or without the use of a bone graft, and it is commonly recognized as the Sauvé-Kapandji procedure. The primary objective of this technique is to create a stable joint that allows for some degree of motion, which is typically lost due to various conditions affecting the distal radioulnar joint. By resecting a segment of the ulna, the procedure aims to maintain the function of the triangular fibrocartilage complex, which is crucial for wrist stability and function. The Sauvé-Kapandji procedure is particularly beneficial for patients suffering from a range of conditions, including arthritis, nonunion of wrist fractures, distal radius epiphysiodesis, Madelung deformities, joint instability, tears of the triangular fibrocartilage complex, and ulnocarpal impaction syndrome. The surgical approach involves careful dissection and manipulation of the surrounding anatomical structures to ensure optimal outcomes and preserve wrist function.