Overview of CPT Code 23650: Open treatment of proximal humeral fracture
CPT Code 23650 refers to the surgical procedure for the open treatment of a proximal humeral fracture, which involves realigning and stabilizing the fractured upper arm bone near the shoulder joint.
When CPT Code 23650 is Used?
This procedure is indicated in specific clinical scenarios.
- Displaced proximal humeral fractures that cannot be treated effectively with non-surgical methods.
- Fractures associated with significant displacement or angulation.
- Fractures in patients with high functional demands or active lifestyles.
Symptoms Indicating This Procedure
Patients may present with various symptoms that suggest the need for surgical intervention.
- Severe shoulder pain that limits movement.
- Swelling and bruising around the shoulder.
- Inability to lift the arm or perform daily activities.
Causes and Risk Factors
Understanding the causes and risk factors can help in prevention and management.
- Falls, particularly in older adults.
- High-impact sports injuries.
- Osteoporosis, which weakens bones and increases fracture risk.
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 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 essential for a successful surgery.
- 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.
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 rehabilitation exercises.
Possible Complications
As with any surgery, there are potential risks involved.
- Infection at the surgical site.
- Nerve or blood vessel damage.
- Nonunion or malunion of the fracture.
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 to assess healing.
- Physical therapy may begin after initial healing.
Alternative Treatments
Non-surgical options may be considered in certain cases.
- Physical therapy to improve range of motion.
- Bracing or splinting to stabilize the shoulder.
- Pain management with medications.
Home Care Tips
Patients can take steps at home to aid recovery.
- Follow all post-operative instructions from your surgeon.
- Use ice packs to reduce swelling.
- Engage in gentle exercises as recommended by your therapist.
Patient Education & Prevention
Education on prevention can help reduce future risks.
- Maintain bone health through diet and exercise.
- Use protective gear during sports activities.
- Fall-proof your home to prevent accidents.
Billing and Coding Information
CPT Code: 23650
Category: Surgery
Common Modifiers:
- -50
- -RT
- -LT
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.
Related CPT Codes
Frequently Asked Questions (FAQs)
What is a proximal humeral fracture?
It is a break in the upper arm bone near the shoulder.
How long is the recovery period?
Recovery typically takes 6 to 12 weeks.
Will I need physical therapy?
Yes, physical therapy is often recommended post-surgery.
