Overview of CPT Code 22214:'Open treatment of clavicle fracture'
CPT Code 22214 refers to the open surgical treatment of a fracture of the clavicle, which is the bone connecting the arm to the body. This procedure is typically performed when a clavicle fracture is displaced or unstable, requiring surgical intervention to ensure proper alignment and healing.
When CPT Code 22214 is Used?
This procedure is indicated in specific clinical scenarios.
- Displaced clavicle fractures where the bone ends are not aligned.
- Fractures that are unstable and at risk of nonunion.
- Fractures associated with significant soft tissue injury.
- Fractures in athletes or active individuals requiring quick recovery.
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.
- 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.
- Traumatic injuries from falls or accidents.
- Sports-related injuries, especially in contact sports.
- Osteoporosis or other conditions that weaken bones.
- High-impact activities that increase the risk of fractures.
Diagnostic Tests Before Procedure
Several diagnostic tests are 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 associated soft tissue injuries.
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 bone.
- Realign the fractured ends of the clavicle.
- Use plates, screws, or pins to stabilize the fracture.
- Close the incision with sutures or staples.
Preparation for the Procedure
Patients should follow specific guidelines to prepare for surgery.
- Avoid eating or drinking after midnight before the surgery.
- Discuss any medications with the surgeon, especially blood thinners.
- Arrange for transportation to and from the hospital.
- Wear loose-fitting clothing on the day of the procedure.
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 prescribed pain management and anti-inflammatory medications.
- Attend physical therapy sessions as recommended.
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 recovery.
- Initial follow-up within 1 to 2 weeks post-surgery.
- Subsequent visits every 4 to 6 weeks until healing is confirmed.
- X-rays may be taken during follow-ups to assess bone healing.
Alternative Treatments
Non-surgical options may be considered in certain cases.
- Immobilization with a sling for non-displaced fractures.
- Physical therapy to strengthen surrounding muscles.
- Pain management with medications and ice therapy.
Home Care Tips
Patients can follow these tips for better recovery at home.
- Keep the arm elevated to reduce swelling.
- Apply ice packs to the shoulder for pain relief.
- Avoid lifting heavy objects or strenuous activities.
- Follow the surgeon's instructions for wound care.
Patient Education & Prevention
Education is key to preventing future injuries.
- Engage in strength training to support bone health.
- Use protective gear during sports and high-risk activities.
- Maintain a healthy diet rich in calcium and vitamin D.
- Be cautious in environments where falls are likely.
Billing and Coding Information
CPT Code: 22214
Category: Surgery
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 typically covers surgical treatment if deemed medically necessary.
- Out-of-pocket costs depend on the patient's insurance plan.
Related CPT Codes
Frequently Asked Questions (FAQs)
What is a clavicle fracture?
A clavicle fracture is a break in the collarbone, often caused by falls or accidents.
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 restore strength and mobility.
What are the signs of complications?
Signs include increased pain, swelling, fever, or drainage from the surgical site.
