Overview of CPT Code 22201: Open treatment of clavicular fracture
CPT Code 22201 refers to the surgical procedure for the open treatment of a clavicular fracture, which involves realigning and stabilizing a broken collarbone through an incision.
When CPT Code 22201 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.
Symptoms Indicating This Procedure
Patients may report various symptoms that suggest the need for this surgical intervention.
- Severe pain in the shoulder or collarbone area.
- Swelling and bruising over the fracture site.
- Inability to move the arm or shoulder normally.
- Visible deformity or abnormal positioning of the collarbone.
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 alignment.
- CT scans for detailed imaging of complex fractures.
- Physical examination to evaluate range of motion and pain.
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 restore normal anatomy.
- Stabilize the fracture using plates, screws, or other fixation devices.
- 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 surgery.
- Discuss current medications with the healthcare provider.
- Arrange for transportation to and from the surgical facility.
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 to prevent infection.
- Follow prescribed pain management and rehabilitation exercises.
Possible Complications
As with any surgical procedure, there are potential risks involved.
- Infection at the surgical site.
- Nerve or blood vessel damage.
- Nonunion or malunion of the fracture.
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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.
- Physical therapy may be recommended to restore function.
Alternative Treatments
There are non-surgical options available for managing clavicular fractures.
- Immobilization with a sling or brace.
- Pain management with medications.
- Physical therapy for rehabilitation.
Home Care Tips
Patients can take steps at home to aid recovery.
- Rest the affected arm and avoid heavy lifting.
- Apply ice to reduce swelling and pain.
- Follow a balanced diet to support healing.
Patient Education & Prevention
Educating patients on prevention can reduce the risk of future fractures.
- Engage in strength training to improve bone health.
- Use protective gear during high-risk activities.
- Maintain a healthy lifestyle to prevent osteoporosis.
Billing and Coding Information
CPT Code: 22201
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.
- Insurance may cover a significant portion of the procedure.
- Out-of-pocket costs depend on the specific insurance plan.
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.
Will I need physical therapy?
Yes, physical therapy is often recommended to regain strength and mobility.
