25491 Prophylactic treatment ulna
Also known as: prophylactic ulna treatment
Prophylactic treatment of the ulna to prevent fracture or pathologic complications.
In Plain Language
preventing ulna problems
Clinical Context
Performed for pathologic bone disease (metastases, myeloma, cystic lesions) to prevent pathologic fracture.
RVU Breakdown
| Work RVU | 9.90 |
| Total RVU | 9.90 |
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 9.90, this code ranks in the 58th 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 25491?
CPT 25491 (Prophylactic treatment ulna) is a Surgery code. Prophylactic treatment of the ulna to prevent fracture or pathologic complications.
What is the wRVU value for CPT 25491?
The work RVU for CPT 25491 is 9.90. This code is primarily used by Orthopedic Surgery, Surgical Oncology. It has a 90-day global period.
When is CPT 25491 used?
Performed for pathologic bone disease (metastases, myeloma, cystic lesions) to prevent pathologic fracture.
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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.