25335 Centralization wrist on ulna
Also known as: radial wrist centralization, centralization procedure
Centralization of the wrist (moving the carpus) on the ulna to stabilize a radially deficient wrist, typically in children.
In Plain Language
moving wrist to center on ulna
Clinical Context
Performed for radial club hand or radius hypoplasia to improve wrist alignment and function. Typically done in children before physeal closure.
RVU Breakdown
| Work RVU | 13.06 |
| Total RVU | 13.06 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 13.06, this code ranks in the 68th percentile among Surgery codes — 1.6x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 25335?
CPT 25335 (Centralization wrist on ulna) is a Surgery code. Centralization of the wrist (moving the carpus) on the ulna to stabilize a radially deficient wrist, typically in children.
What is the wRVU value for CPT 25335?
The work RVU for CPT 25335 is 13.06. This code is primarily used by Hand Surgery, Pediatric Orthopedic Surgery. It has a 90-day global period.
When is CPT 25335 used?
Performed for radial club hand or radius hypoplasia to improve wrist alignment and function. Typically done in children before physeal closure.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.