Overview of CPT Code 22251: Open treatment of clavicular fracture

CPT Code 22251 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 22251 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 area.
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, such as falls or collisions.
High-impact sports activities, including football and hockey.
Osteoporosis or other conditions that weaken bones.
Previous fractures or injuries to the clavicle.

Diagnostic Tests Before Procedure

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

X-rays to visualize the fracture and assess displacement.
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 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 surgery.
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 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 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.

Secure, compliant, and built for trust

HIPAA-compliant and designed with privacy in mind, your patient’s data is protected. Focus on care while we safeguard your information.

Learn more

Post-Procedure Follow-Up

Regular follow-up is essential to monitor healing.

Initial follow-up appointment within 1 to 2 weeks post-surgery.
Subsequent visits every 4 to 6 weeks to assess healing.
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 instructions from your 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 your doctor.

Patient Education & Prevention

Education is key to preventing future injuries.

Wear protective gear during sports and high-risk activities.
Maintain bone health through diet and exercise.
Seek prompt medical attention for any shoulder injuries.

Billing and Coding Information

CPT Code: 22251

Category: Surgical Procedures

Common Modifiers:

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 complexity.
Most insurance plans cover the procedure if deemed medically necessary.
Out-of-pocket costs may vary based on deductible and co-insurance.