25445 Arthrp with prostc trapezium
Also known as: trapezium arthroplasty
Arthroplasty of the trapezium (carpal bone at thumb base) with prosthetic implant.
In Plain Language
replacing trapezium bone
Clinical Context
Performed for first carpometacarpal arthritis or trapezium-based pathology.
RVU Breakdown
| Work RVU | 9.63 |
| Total RVU | 9.63 |
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 9.63, this code ranks in the 57th percentile among Surgery codes — 1.2x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 25445?
CPT 25445 (Arthrp with prostc trapezium) is a Surgery code. Arthroplasty of the trapezium (carpal bone at thumb base) with prosthetic implant.
What is the wRVU value for CPT 25445?
The work RVU for CPT 25445 is 9.63. This code is primarily used by Hand Surgery, Orthopedic Surgery. It has a 90-day global period.
When is CPT 25445 used?
Performed for first carpometacarpal arthritis or trapezium-based pathology.
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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.