Overview of CPT Code 23532:open-treatment-of-proximal-humeral-fracture

CPT Code 23532 refers to the open treatment of a proximal humeral fracture, which involves surgical intervention to realign and stabilize the fractured upper arm bone near the shoulder joint.

When CPT Code 23532 is Used?

This procedure is indicated in specific clinical scenarios.

Displaced proximal humeral fractures that cannot be treated effectively with conservative methods.
Fractures associated with significant displacement or angulation.
Fractures in patients with high functional demands or active lifestyles.
Fractures that involve the shoulder joint and require stabilization for proper healing.

Symptoms Indicating This Procedure

Patients may present with various symptoms that suggest the need for surgical intervention.

Severe pain in the shoulder area.
Inability to move the arm or shoulder.
Swelling and bruising around the shoulder.
Deformity or abnormal positioning of the shoulder.

Causes and Risk Factors

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

Traumatic injuries from falls or accidents.
Osteoporosis, which weakens bones and increases fracture risk.
Age-related degeneration of bone quality.
Participation in high-impact sports or activities.

Diagnostic Tests Before Procedure

Several diagnostic tests are essential for confirming the need for surgery.

X-rays to assess the fracture type and displacement.
CT scans for detailed imaging of complex fractures.
MRI to evaluate soft tissue injuries around the shoulder.

Procedure Description

The open treatment procedure involves several key steps.

Administer anesthesia to ensure patient comfort.
Make an incision over the shoulder to access the fractured bone.
Realign the fractured bone fragments into their proper position.
Use plates, screws, or other fixation devices to stabilize the fracture.
Close the incision with sutures or staples.

Preparation for the Procedure

Proper preparation is crucial for a successful outcome.

Avoid eating or drinking after midnight before the surgery.
Discuss any medications with your doctor, especially blood thinners.
Arrange for transportation to and from the hospital.
Wear loose, comfortable clothing on the day of the procedure.

Recovery and Aftercare

Post-operative care is vital for healing.

Expected recovery period is typically 6 to 12 weeks.
Keep the surgical area clean and dry to prevent infection.
Follow prescribed pain management and anti-inflammatory medications.
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.
Stiffness or loss of range of motion 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 for monitoring recovery.

Initial follow-up appointment within 1 to 2 weeks post-surgery.
Subsequent visits every 4 to 6 weeks to assess healing.
Imaging studies may be repeated to ensure proper bone alignment.

Alternative Treatments

Non-surgical options may be considered in certain cases.

Physical therapy to improve strength and mobility.
Bracing or splinting to stabilize the shoulder.
Pain management with medications and ice therapy.

Home Care Tips

Patients can take steps at home to aid recovery.

Keep the arm elevated to reduce swelling.
Apply ice packs to the shoulder for pain relief.
Follow a gentle exercise routine as advised by your therapist.
Avoid heavy lifting or strenuous activities until cleared by your doctor.

Patient Education & Prevention

Education is key to preventing future injuries.

Engage in weight-bearing exercises to strengthen bones.
Ensure home safety to prevent falls.
Discuss bone health with your healthcare provider, especially if at risk for osteoporosis.