25440 Repair nonu scphd carpl bone
Also known as: scaphoid nonunion repair, scaphoid ORIF with graft
Repair of scaphoid (wrist boat bone) nonunion with vascularized bone graft and internal fixation.
In Plain Language
fixing broken scaphoid bone
Clinical Context
Performed for symptomatic scaphoid nonunion, especially with osteonecrosis. Vascularized graft or percutaneous fixation may be used.
RVU Breakdown
| Work RVU | 10.41 |
| Total RVU | 10.41 |
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 10.41, this code ranks in the 60th percentile among Surgery codes — 1.3x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 25440?
CPT 25440 (Repair nonu scphd carpl bone) is a Surgery code. Repair of scaphoid (wrist boat bone) nonunion with vascularized bone graft and internal fixation.
What is the wRVU value for CPT 25440?
The work RVU for CPT 25440 is 10.41. This code is primarily used by Hand Surgery, Orthopedic Surgery. It has a 90-day global period.
When is CPT 25440 used?
Performed for symptomatic scaphoid nonunion, especially with osteonecrosis. Vascularized graft or percutaneous fixation may be used.
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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.