Overview of CPT Code 23630:'Open treatment of humeral shaft fracture'
CPT Code 23630 refers to the open surgical treatment of a fracture in the shaft of the humerus, the long bone of the upper arm. This procedure is typically performed when a fracture is displaced or unstable, requiring surgical intervention to ensure proper alignment and healing.
When CPT Code 23630 is Used?
This procedure is indicated in several clinical scenarios.
- Displaced humeral shaft fractures that cannot be aligned properly with non-surgical methods.
- Fractures associated with significant soft tissue injury.
- Fractures that are unstable and at risk of nonunion or malunion.
- Fractures in patients with high functional demands requiring precise alignment.
Symptoms Indicating This Procedure
Patients may present with various symptoms that suggest the need for surgical intervention.
- Severe pain in the upper arm.
- Swelling and bruising around the fracture site.
- Inability to move the arm or shoulder.
- Deformity or abnormal positioning of the arm.
Causes and Risk Factors
Understanding the causes and risk factors can help in prevention.
- Traumatic injuries such as falls or accidents.
- Sports-related injuries.
- Osteoporosis or other conditions that weaken bones.
- Previous fractures or surgeries in the area.
Diagnostic Tests Before Procedure
Several diagnostic tests are performed to confirm the need for surgery.
- X-rays to visualize the fracture and assess alignment.
- CT scans for detailed imaging of complex fractures.
- MRI if soft tissue injury is suspected.
Procedure Description
The open treatment of a humeral shaft 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 bone fragments to restore normal anatomy.
- Stabilize the fracture using plates, screws, or intramedullary nails.
- 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 medications with your doctor, especially blood thinners.
- Arrange for transportation to and from the hospital.
- Wear loose, comfortable clothing on the day of surgery.
Recovery and Aftercare
Post-operative care is crucial for healing.
- 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.
- Stiffness or loss of motion in the shoulder or arm.
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 important 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.
- Casting or splinting for non-displaced fractures.
- Physical therapy to improve strength and mobility.
- Pain management with medications.
Home Care Tips
Patients can take steps to aid their recovery at home.
- Keep the arm elevated to reduce swelling.
- Apply ice packs to the surgical area as needed.
- Follow a balanced diet to support healing.
- Avoid heavy lifting or strenuous activities until cleared by a doctor.
Patient Education & Prevention
Education is key to preventing future injuries.
- Engage in strength training to improve bone health.
- Use protective gear during sports and activities.
- Maintain a healthy lifestyle to reduce osteoporosis risk.
- Seek immediate care for any arm injuries.
Billing and Coding Information
CPT Code: 23630
Category: Surgery
Common Modifiers:
- 50 - Bilateral procedure
- 59 - Distinct procedural service
Average Cost and Insurance Coverage
Costs can vary based on several factors.
- Average cost ranges from $10,000 to $20,000.
- Insurance typically covers the procedure 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 humeral shaft fracture?
It is a break in the long bone of the upper arm, 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, warmth, or discharge from the incision.
