Overview of CPT Code 22200: Open treatment of clavicular fracture
CPT Code 22200 refers to the surgical procedure for the open treatment of a clavicular fracture, which involves realigning and stabilizing the broken collarbone through an incision.
When CPT Code 22200 is Used?
This procedure is indicated in specific clinical scenarios.
- Displaced clavicular fractures where the bone ends are not aligned.
- Fractures that are not healing properly with conservative treatment.
- Fractures associated with significant displacement or shortening of the clavicle.
- Fractures resulting from high-energy trauma, such as sports injuries or accidents.
Symptoms Indicating This Procedure
Patients may report various symptoms that suggest the need for surgical intervention.
- Severe pain at the site of the fracture.
- Swelling and bruising over the collarbone.
- Inability to move the arm or shoulder without pain.
- Visible deformity or abnormal positioning of the shoulder.
Causes and Risk Factors
Understanding the causes and risk factors can help in prevention.
- Direct trauma to the shoulder area, such as falls or collisions.
- High-impact sports activities, including football and hockey.
- Osteoporosis or other conditions that weaken bones.
- Previous fractures in the same area that may predispose to new fractures.
Diagnostic Tests Before Procedure
Several diagnostic tests are performed to confirm the need for surgery.
- X-rays to visualize the fracture and assess displacement.
- CT scans for detailed imaging of complex fractures.
- MRI in cases where soft tissue injury is suspected.
Procedure Description
The open treatment of a clavicular fracture involves several key steps.
- Administer anesthesia to ensure patient comfort.
- Make an incision over the fracture site to access the clavicle.
- Realign the fractured bone ends to their normal position.
- Stabilize the fracture using plates, screws, or pins.
- Close the incision with sutures or staples.
Preparation for the Procedure
Patients should follow specific guidelines to prepare for surgery.
- Avoid eating or drinking for at least 8 hours before the procedure.
- Discuss any medications with the surgeon, especially blood thinners.
- Arrange for transportation to and from the surgical facility.
- Wear loose-fitting clothing on the day of surgery.
Recovery and Aftercare
Post-operative care is crucial for a successful recovery.
- Expected recovery period is typically 6 to 12 weeks.
- Keep the surgical site clean and dry; follow wound care instructions.
- Pain management may include prescribed medications or over-the-counter pain relievers.
- Physical therapy may be recommended to restore strength and mobility.
Possible Complications
While complications are rare, they can occur.
- Infection at the surgical site.
- Nerve or blood vessel damage.
- Nonunion or malunion of the fracture.
- Persistent pain or stiffness in the shoulder.
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Post-Procedure Follow-Up
Regular follow-up is essential to monitor healing.
- Initial follow-up appointment within 1-2 weeks post-surgery.
- Subsequent visits every 4-6 weeks to assess healing progress.
- X-rays may be taken during follow-ups to ensure proper alignment.
Alternative Treatments
Non-surgical options may be considered in certain cases.
- Immobilization with a sling or brace for non-displaced fractures.
- Physical therapy to strengthen surrounding muscles.
- Pain management with medications and ice therapy.
Home Care Tips
Patients can take steps at home to aid recovery.
- Follow all post-operative care instructions provided by the surgeon.
- Keep the arm elevated to reduce swelling.
- Engage in gentle range-of-motion exercises as advised.
- Avoid heavy lifting or strenuous activities until cleared by the doctor.
Patient Education & Prevention
Education is key to preventing future injuries.
- Wear protective gear during sports and high-risk activities.
- Maintain bone health through a balanced diet rich in calcium and vitamin D.
- Engage in strength training to support bone and muscle health.
Billing and Coding Information
CPT Code: 22200
Category: Surgery
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 depending on facility and location.
- Most insurance plans cover the procedure if deemed medically necessary.
- Patients should verify coverage details with their insurance provider.
Related CPT Codes
Frequently Asked Questions (FAQs)
What is a clavicular fracture?
A clavicular 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 of the fracture.
Will I need physical therapy?
Yes, physical therapy is often recommended to regain strength and mobility.
What are the signs of infection?
Signs include increased redness, swelling, warmth, and discharge at the surgical site.
