Overview of CPT Code 21432:Repair of fractured clavicle

Overview of CPT Code 21432:Repair of fractured clavicle

CPT Code 21432 refers to the surgical repair of a fractured clavicle, a common injury often resulting from falls or direct trauma. This procedure aims to restore the normal anatomy and function of the clavicle.

When CPT Code 21432 is Used?

This procedure is indicated in various clinical scenarios.

• Displaced clavicle fractures requiring surgical intervention.
• Fractures that do not heal properly with conservative treatment.
• Fractures associated with significant pain or dysfunction.

Symptoms Indicating This Procedure

Patients may present with several symptoms that suggest the need for surgical repair.

• Severe pain in the shoulder or collarbone area.
• Swelling and bruising over the fracture site.
• Limited range of motion in the shoulder.
• Visible deformity or abnormal positioning of the clavicle.

Causes and Risk Factors

Understanding the causes and risk factors can help in prevention.

• Traumatic injuries from falls, sports, or accidents.
• High-impact activities that increase the risk of fractures.
• Osteoporosis or other conditions that weaken bones.

Diagnostic Tests Before Procedure

Several diagnostic tests may be performed to confirm the need for surgery.

• X-rays to visualize the fracture and assess displacement.
• CT scans for detailed imaging of complex fractures.
• Physical examination to evaluate symptoms and functionality.

Procedure Description

The surgical procedure involves several key steps.

• Administer anesthesia to ensure patient comfort.
• Make an incision over the fracture site.
• Realign the fractured ends of the clavicle.
• Secure the bones using plates, screws, or pins.
• Close the incision with sutures or staples.

Preparation for the Procedure

Proper preparation is essential for a successful surgery.

• Avoid eating or drinking for several hours before surgery.
• Discuss medications with the surgeon, especially blood thinners.
• Arrange for transportation to and from the surgical facility.

Recovery and Aftercare

Post-operative care is crucial for healing.

• Expected recovery period is typically 6 to 12 weeks.
• Keep the surgical site clean and dry.
• Follow prescribed pain management and rehabilitation exercises.

Possible Complications

While complications are rare, they can occur.

• Infection at the surgical site.
• Nonunion or malunion of the fracture.
• Nerve or blood vessel damage.

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Post-Procedure Follow-Up

Regular follow-up is important to monitor recovery.

• Initial follow-up within 1-2 weeks post-surgery.
• Subsequent visits every 4-6 weeks to assess healing.
• Physical therapy may be recommended to restore function.

Alternative Treatments

Non-surgical options may be considered in certain cases.

• Immobilization with a sling or brace.
• Pain management with medications.
• Physical therapy to strengthen surrounding muscles.

Home Care Tips

Patients can take steps to aid their recovery at home.

• Follow the surgeon's instructions carefully.
• Keep the arm elevated to reduce swelling.
• Engage in gentle movements as advised by the therapist.

Patient Education & Prevention

Education is key to preventing future injuries.

• Engage in strength training to support bone health.
• Use protective gear during high-risk activities.
• Maintain a healthy diet rich in calcium and vitamin D.

Billing and Coding Information

CPT Code: 21432

Category: Surgical Procedures

Common Modifiers:

• -50
• -RT
• -LT

Average Cost and Insurance Coverage

Costs can vary based on several factors.

• Average cost ranges from $5,000 to $15,000.
• Insurance typically covers surgical repairs, but verify with your provider.

Related CPT Codes

• 21431 - Repair of fractured clavicle

References and Sources

• Clavicle Fractures: Overview
• Surgical Management of Clavicle Fractures