Overview of CPT Code 22220: Open Treatment of Clavicular Fracture
CPT Code 22220 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 22220 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 soft tissue injury.
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 collarbone.
Causes and Risk Factors
Understanding the causes and risk factors can help in prevention.
- Trauma from falls or accidents.
- Sports injuries, particularly in contact sports.
- 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.
- CT scans for detailed imaging of complex fractures.
- Physical examination to assess 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.
- Realign the fractured bone ends.
- 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 after midnight before the surgery.
- Discuss medications with the surgeon, especially blood thinners.
- Arrange for transportation to and from the hospital.
Recovery and Aftercare
Post-operative care is crucial for a successful recovery.
- Expected recovery period is 6 to 12 weeks.
- Keep the surgical site clean and dry.
- Follow prescribed pain management and rehabilitation exercises.
Possible Complications
As with any surgery, there are potential risks involved.
- Infection at the surgical site.
- Nonunion or malunion of the fracture.
- Nerve or blood vessel damage.
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Post-Procedure Follow-Up
Regular follow-up is essential to monitor healing.
- Initial follow-up within 1-2 weeks post-surgery.
- Subsequent visits every 4-6 weeks until healing is confirmed.
- Physical therapy may be recommended to restore function.
Alternative Treatments
Non-surgical options may be considered in certain cases.
- Immobilization with a sling or brace.
- Pain management with medications.
- Physical therapy to strengthen surrounding muscles.
Home Care Tips
Patients can take steps at home to aid recovery.
- Keep the arm elevated to reduce swelling.
- Apply ice packs to the area to manage pain.
- Follow a balanced diet to support healing.
Patient Education & Prevention
Education on prevention can help reduce the risk of fractures.
- Engage in strength training to improve bone health.
- Use protective gear during sports activities.
- Avoid high-risk activities if prone to falls.
Billing and Coding Information
CPT Code: 22220
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.
What are the signs of infection?
Signs include increased redness, swelling, and discharge from the incision site.
