CPT® Code 25915

The Krukenberg procedure, designated by CPT® Code 25915, is a specialized surgical intervention primarily indicated for patients who either have a congenital absence of the hand or have experienced a traumatic or therapeutic amputation at the wrist. This reconstructive procedure aims to restore functionality to the forearm by creating a mobile pincer mechanism using the remaining bones of the forearm, specifically the radius and ulna. The procedure involves a series of intricate steps that include the separation of the radius and ulna, meticulous rearrangement of the surrounding muscles, and the careful covering of each bone with skin to ensure that they can function effectively as an innervated structure. The surgical approach typically involves an incision along the midline of the anterior aspect of the forearm, extending over the stump and into the posterior forearm. This allows for adequate access to the underlying soft tissues, which are dissected to facilitate the division of muscles and the careful handling of the interosseous membrane. The ultimate goal of the Krukenberg procedure is to enable the patient to manipulate objects using the newly formed pincer, thereby improving their quality of life and functional capabilities.