Overview of CPT Code 21400:Closed Treatment of Clavicular Fracture

Overview of CPT Code 21400:Closed Treatment of Clavicular Fracture

CPT Code 21400 refers to the closed treatment of a clavicular fracture, which is a break in the collarbone. This procedure is typically performed without surgical intervention, using non-invasive methods to realign the bone.

When CPT Code 21400 is Used?

This code is applicable in various clinical scenarios.

• Acute clavicular fracture diagnosed via physical examination and imaging.
• Fractures that are non-displaced or minimally displaced.
• Patients who are not candidates for surgical intervention due to health concerns.

Symptoms Indicating This Procedure

Patients may present with several symptoms that indicate the need for this procedure.

• Severe pain in the shoulder or collarbone area.
• Swelling and bruising over the fracture site.
• Limited range of motion in the arm.
• A visible deformity or bump over the collarbone.

Causes and Risk Factors

Understanding the causes and risk factors can help in prevention.

• Trauma from falls or direct blows to the shoulder.
• Sports injuries, particularly in contact sports.
• Osteoporosis or other conditions that weaken bones.

Diagnostic Tests Before Procedure

Several diagnostic tests may be performed to confirm the fracture.

• X-rays to visualize the fracture and assess displacement.
• CT scans for detailed imaging if necessary.
• Physical examination to evaluate symptoms and range of motion.

Procedure Description

The closed treatment procedure involves several key steps.

• Patient is positioned comfortably, often sitting or lying down.
• Local anesthesia may be administered to minimize discomfort.
• The physician gently manipulates the shoulder to realign the fractured clavicle.
• A sling or brace is applied to immobilize the area and support healing.

Preparation for the Procedure

Proper preparation is essential for a successful procedure.

• Inform the physician of any medications or allergies.
• Avoid eating or drinking for a specified period before the procedure.
• Arrange for transportation home post-procedure if sedation is used.

Recovery and Aftercare

Recovery typically involves several key aspects.

• Expected recovery period is usually 6-12 weeks.
• Keep the arm in a sling for support as directed.
• Pain management with prescribed medications or over-the-counter pain relievers.
• Follow-up appointments to monitor healing and adjust treatment as necessary.

Possible Complications

While complications are rare, they can occur.

• Non-union or malunion of the fracture.
• Infection at the site of treatment.
• Persistent pain or limited mobility in the shoulder.

Secure, compliant, and built for trust

HIPAA-compliant and designed with privacy in mind, your patient’s data is protected. Focus on care while we safeguard your information.

Learn more

Post-Procedure Follow-Up

Follow-up care is crucial for monitoring recovery.

• Initial follow-up within 1-2 weeks post-procedure.
• Regular check-ups every few weeks to assess healing.
• Physical therapy may be recommended to restore strength and mobility.

Alternative Treatments

There are non-surgical options available for managing clavicular fractures.

• Physical therapy to strengthen surrounding muscles.
• Use of a brace or sling for support and immobilization.
• Pain management strategies including ice and rest.

Home Care Tips

Patients can take several steps at home to aid recovery.

• Keep the affected area elevated to reduce swelling.
• Apply ice packs to the shoulder for 15-20 minutes several times a day.
• Follow the physician's instructions regarding activity restrictions.

Patient Education & Prevention

Education is key to preventing future injuries.

• Engage in strength training to support bone health.
• Wear protective gear during sports activities.
• Practice safe techniques to prevent falls.

Billing and Coding Information

CPT Code: 21400

Category: Surgical Procedures

Common Modifiers:

• -50
• -RT
• -LT

Average Cost and Insurance Coverage

Costs can vary based on several factors.

• Average cost ranges from $1,500 to $3,000.
• Most insurance plans cover the procedure, but verification is recommended.

Related CPT Codes

• 21401 - Excision of benign skin lesion, face, ears, scalp, neck

References and Sources

• Clavicle Fractures: Overview
• Management of Clavicle Fractures