Overview of CPT Code 21433:Repair of fractured clavicle
CPT Code 21433 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 21433 is Used?
This code is applicable in various clinical scenarios, including:
- Displaced clavicle fractures requiring surgical intervention.
- Non-union or malunion of a previously fractured clavicle.
- Fractures associated with significant pain or dysfunction.
Symptoms Indicating This Procedure
Patients may present with the following symptoms:
- Severe pain in the shoulder or collarbone area.
- Swelling and bruising over the clavicle.
- 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 and management.
- Traumatic injuries from falls, sports, or accidents.
- High-impact activities that put stress on the shoulder.
- 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 its alignment.
- CT scans for detailed imaging of complex fractures.
- MRI to assess soft tissue injuries associated with the fracture.
Procedure Description
The surgical procedure typically involves the following steps:
- Administer anesthesia to ensure patient comfort.
- Make an incision over the fractured clavicle.
- Realign the fractured bone fragments.
- Secure the fragments using plates, screws, or pins.
- Close the incision with sutures or staples.
Preparation for the Procedure
Patients should follow these steps to prepare for surgery:
- Avoid eating or drinking for at least 8 hours before surgery.
- Discuss any medications with the surgeon, especially blood thinners.
- Arrange for transportation to and from the surgical facility.
Recovery and Aftercare
Post-operative recovery typically includes:
- Wearing a sling for support and immobilization.
- Pain management with prescribed medications.
- Gradual physical therapy to restore movement and strength.
Possible Complications
While generally safe, this procedure carries some risks:
- Infection at the surgical site.
- Nerve or blood vessel damage.
- Non-union or malunion of the fracture.
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Post-Procedure Follow-Up
Follow-up appointments are crucial for monitoring recovery:
- Initial follow-up within 1-2 weeks post-surgery.
- Regular check-ups to assess healing and adjust rehabilitation.
- Final assessment typically around 6 months post-surgery.
Alternative Treatments
Non-surgical options may include:
- Physical therapy for minor fractures.
- Bracing or splinting for stabilization.
- Pain management with medications.
Home Care Tips
Patients can follow these tips for effective home care:
- Keep the surgical area clean and dry.
- Follow prescribed medication schedules.
- Engage in recommended exercises to promote healing.
Patient Education & Prevention
Educating patients on prevention is key:
- Wear protective gear during sports and activities.
- Maintain bone health through diet and exercise.
- Seek prompt treatment for shoulder injuries.
Billing and Coding Information
CPT Code: 21433
Category: Surgical Procedures
Common Modifiers:
- 50 - Bilateral procedure
- RT - Right side
- LT - Left side
Average Cost and Insurance Coverage
Costs can vary based on several factors:
- Average cost ranges from $5,000 to $15,000.
- Insurance may cover a significant portion, depending on the plan.
- Out-of-pocket costs vary based on deductibles and co-pays.
Related CPT Codes
- 21431 - Repair of fractured clavicle
- 21432 - Repair of fractured clavicle
References and Sources
Frequently Asked Questions (FAQs)
What is a clavicle fracture?
A clavicle fracture is a break in the collarbone, often caused by trauma.
How long does recovery take?
Recovery typically takes 6 to 12 weeks, depending on the severity.
Will I need physical therapy?
Yes, physical therapy is often recommended to regain strength and mobility.
