25446 Arthrp with prostc dst rds & crps
Also known as: wrist arthroplasty total, total wrist replacement
Arthroplasty of the distal radius and carpal bones with prosthetic implant for comprehensive wrist replacement.
In Plain Language
replacing wrist joint
Clinical Context
Indicated for advanced radiocarpal arthritis in appropriate candidates. Provides motion while sacrificing arthrodesis option.
RVU Breakdown
| Work RVU | 16.87 |
| Total RVU | 16.87 |
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 16.87, this code ranks in the 77th percentile among Surgery codes — 2.1x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 25446?
CPT 25446 (Arthrp with prostc dst rds & crps) is a Surgery code. Arthroplasty of the distal radius and carpal bones with prosthetic implant for comprehensive wrist replacement.
What is the wRVU value for CPT 25446?
The work RVU for CPT 25446 is 16.87. This code is primarily used by Hand Surgery, Orthopedic Surgery. It has a 90-day global period.
When is CPT 25446 used?
Indicated for advanced radiocarpal arthritis in appropriate candidates. Provides motion while sacrificing arthrodesis option.
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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.