Elbow CPT codes

Revision of total elbow arthroplasty with replacement of both the humeral and ulnar components, including allograft when utilized.

Revision of total elbow arthroplasty for a single failed component (humeral or ulnar), with allograft bone grafting performed when required.

Radical resection of a tumor involving the distal or shaft portion of the humerus, with or without allograft reconstruction.

Arthroplasty of the elbow with prosthetic replacement of both the distal humerus and proximal ulna — i.e., total elbow arthroplasty.

Radical resection of a soft tissue tumor measuring 5 cm or greater, located in the upper arm or elbow region.

Radical resection of a tumor involving the radial head or neck at the elbow, requiring wide surgical excision of bone and surrounding tissue.

Surgical removal of both the humeral and ulnar components of a total elbow prosthesis, including debridement and synovectomy when performed during the same operative session.

Stump elongation of the upper extremity through bone graft to increase residual limb length for prosthetic fitting or functional improvement.

Radical resection of the elbow joint capsule, surrounding soft tissue, and heterotopic bone, performed with contracture release.

Open treatment of a partial articular fracture and/or dislocation of the elbow with internal fixation of the articular fragment.

Open surgical treatment of a periarticular elbow fracture and/or dislocation involving the distal humerus, proximal ulna, and/or proximal radius, with internal fixation.

Radical resection of a soft tissue tumor — such as a sarcoma — located in the upper arm or elbow region, where the excised specimen measures less than 5 cm.

Elbow arthroplasty using a distal humeral implant combined with fascia lata graft harvest and ligament reconstruction to restore joint stability.

Surgical reconstruction of the lateral collateral ligament of the elbow using a tendon graft, including harvesting of the graft from the patient.

Surgical reconstruction of the elbow's medial collateral ligament using a tendon graft, including harvesting of that graft.

Multiple osteotomies of the humeral shaft with realignment stabilized by an intramedullary rod (Sofield type procedure).

Open repair of humeral nonunion or malunion using an autogenous bone graft harvested from the patient.

Open treatment of a distal humeral fracture that extends into the intercondylar region, requiring fixation of both the supracondylar and intraarticular components.

Elbow arthroplasty with replacement of the distal humerus using a prosthetic implant — hemiarthroplasty of the elbow, humeral side only.

Surgical fusion of the elbow joint using bone graft harvested from the patient's own body, with internal fixation to eliminate motion and stabilize the joint.

Surgical reshaping or recontouring of the humerus — includes procedures such as shortening or lengthening of the humeral shaft, excluding procedures covered by 64876.

Amputation of the upper arm through the humeral shaft with insertion of a prosthetic implant to preserve limb length or facilitate future prosthetic fitting.

Open surgical repair of a supracondylar or transcondylar distal humerus fracture, with internal fixation when used, where the fracture does not extend into the intercondylar region.

Open elbow arthroplasty using a biologic membrane (e.g., fascia) to resurface or reconstruct the joint without inserting a prosthetic implant.

Prophylactic treatment of the humerus to prevent impending pathologic fracture, with or without methylmethacrylate bone cement reinforcement.

Excision or curettage of a bone cyst or benign tumor of the humerus with allograft reconstruction

Open surgical repair of a humeral shaft fracture using plate and screw fixation, with or without cerclage wire.

Surgical removal of the elbow joint through open resection, typically performed for end-stage arthritic destruction, tumor, or chronic infection where joint-sparing procedures are no longer viable.

Open surgical repair of a humeral condyle fracture, accessing the fracture site through an incision and stabilizing the bone with internal fixation hardware.

Surgical fusion of the elbow joint using internal fixation and local bone graft harvested from tissue adjacent to the elbow.

Surgical cutting and realignment of the humerus (upper arm bone), with or without placement of internal fixation hardware to hold the corrected position.

Surgical flexor-plasty of the elbow with additional extensor advancement, performed to improve elbow flexion strength and function.

Reinsertion of a ruptured distal biceps or triceps tendon at the elbow, with or without tendon graft (graft harvest included when performed).

Surgical tendon repair with muscle transfer to restore elbow flexion, specifically transferring the pectoralis major to the biceps tendon to compensate for biceps paralysis.

Re-amputation of the upper arm through the humerus, performed to revise a prior amputation stump that has failed to heal or is anatomically unsuitable for prosthetic fitting.

Surgical transfer of one or more muscles or tendons in the upper arm or elbow to restore lost motor function.

Surgical removal of dead, sequestered bone from the shaft or distal humerus in the setting of chronic osteomyelitis.

Percutaneous skeletal fixation of a medial or lateral humeral condylar fracture, performed with manipulation.

Transhumeral amputation performed using an open, circular (guillotine) technique — cutting through the soft tissue circumferentially and dividing the bone at the same level, leaving the wound open for subsequent closure.

Surgical excision of a subfascial or intramuscular soft tissue tumor of the upper arm or elbow area measuring 5 cm or greater in its largest dimension.

Excision or curettage of a bone cyst or benign tumor of the humerus, with autograft harvested from the patient to fill the defect.

Surgical removal of a previously implanted radial head prosthesis from the elbow joint.

Open treatment of a radial head or neck fracture, including internal fixation or radial head excision when performed, with prosthetic replacement of the radial head.

Open treatment of acute or chronic elbow dislocation, with or without internal or external fixation

Surgical advancement of the flexor muscle origin at the elbow, relocating the flexor-pronator group proximally on the humerus to restore or improve elbow flexion strength.

Percutaneous skeletal fixation of a supracondylar humeral fracture using pins placed through the skin without open incision.

Open arthrotomy of the elbow with excision and release of the joint capsule, performed to restore motion lost to contracture or arthritis-related capsular thickening.

Open surgical repair of a medial or lateral humeral epicondyle fracture at the elbow, with internal fixation applied when needed to stabilize the fragment.

Partial excision of the humerus via craterization, saucerization, or diaphysectomy — typically performed for osteomyelitis, bone abscess, or similar destructive bone pathology of the humeral shaft or distal humerus.

Surgical repair of a tendon or muscle in the upper arm or elbow region, reported once per structure repaired.

Radial head arthroplasty with prosthetic implant — the damaged radial head is excised and replaced with an artificial prosthesis to restore elbow stability and function.

Open repair of the lateral collateral ligament of the elbow using local tissue — no graft harvest required.

Open repair of the elbow's medial collateral ligament using local tissue harvested from the operative site

Percutaneous skeletal fixation of a medial or lateral humeral epicondylar fracture, performed with manipulation to restore alignment before pin or wire placement through the skin.

Open elbow tenotomy with soft tissue and/or bone debridement plus tendon repair or reattachment, performed at the lateral or medial epicondyle for conditions such as epicondylitis.

Surgical arrest of asymmetric physeal growth at the distal humerus using hardware (staple or plate) to correct angular deformity such as cubitus varus or valgus.

Open surgical treatment of a Monteggia fracture-dislocation at the elbow — fracture of the proximal ulna combined with dislocation of the radial head — including internal fixation when used.

Arthroplasty of the radial head, performed as an open surgical reconstruction of the proximal radius at the elbow joint.

Excision or curettage of a bone cyst or benign tumor of the radial head or neck at the elbow, including any allograft filling of the resulting defect.

Surgical removal of necrotic or sequestered bone from the olecranon process of the elbow, typically performed to address osteomyelitis or a bone abscess.