CPT Knowledgebase - Aug 4, 2021

A physician placed a rolled-up piece of allograft tissue in the defect in which the trapezium was excised during an interpositional arthroplasty procedure. An abductor pollicis longus to flexor carpi radialis (APLto- FCR) suspensionplasty was also performed during the operative session. Would the scenario presented be reported with code 25447 as an interpositional arthroplasty? Or is the rolled-up piece of allograft tissue considered a prosthetic replacement of the trapezium and reported with code 25445?

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