Overview of CPT Code 22202:Open treatment of clavicle fracture

CPT Code 22202 refers to the open surgical treatment of a clavicle fracture, which involves realigning the broken bone and stabilizing it with hardware. This procedure is typically indicated when a fracture is displaced or unstable, requiring surgical intervention to ensure proper healing.

When CPT Code 22202 is Used?

This procedure is appropriate in several clinical scenarios.

Displaced clavicle fractures that cannot heal properly without surgery.
Fractures associated with significant displacement or shortening of the clavicle.
Fractures that are unstable and at risk of nonunion or malunion.
Fractures resulting from high-energy trauma, such as motor vehicle 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 shoulder area.
Inability to move the arm or shoulder without significant pain.
Visible deformity or abnormal positioning of the shoulder.

Causes and Risk Factors

Understanding the causes and risk factors can help in prevention and management.

Direct trauma to the shoulder, such as falls or sports injuries.
High-impact accidents, including car crashes.
Osteoporosis or other conditions that weaken bones.
Participation in contact sports or activities with a high risk of falls.

Diagnostic Tests Before Procedure

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

X-rays to visualize the fracture and assess its 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 clavicle 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 fragments to their normal position.
Stabilize the fracture 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 at least 8 hours before surgery.
Discuss any medications with your doctor, especially blood thinners.
Arrange for transportation to and from the surgical facility.
Wear loose-fitting clothing on the day of the procedure.

Recovery and Aftercare

Post-operative care is crucial for optimal recovery.

Expect a recovery period of 6 to 12 weeks, depending on the severity of the fracture.
Keep the surgical site clean and dry; follow wound care instructions.
Take prescribed pain medications as needed.
Attend physical therapy sessions to regain 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.
Hardware failure or irritation.

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Post-Procedure Follow-Up

Regular follow-up is important to monitor healing.

Schedule a follow-up appointment within 1 to 2 weeks post-surgery.
X-rays may be taken to assess the healing process.
Discuss any concerns or complications with your healthcare provider.

Alternative Treatments

Non-surgical options may be considered in certain cases.

Immobilization with a sling for non-displaced fractures.
Physical therapy to strengthen the shoulder and improve range of motion.
Pain management with medications and ice therapy.

Home Care Tips

Simple home care can aid in recovery.

Keep the arm elevated to reduce swelling.
Apply ice packs to the shoulder for 15-20 minutes at a time.
Follow a balanced diet to support healing.
Avoid lifting heavy objects or strenuous activities until cleared by your doctor.