Overview of CPT Code 24535: Open treatment of humeral shaft fracture

CPT Code 24535 refers to the open surgical treatment of a fracture in the shaft of the humerus, which is the long bone in 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 24535 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 and management.

Traumatic injuries from falls, sports, or accidents.
Osteoporosis or other conditions that weaken bones.
High-impact activities or contact sports.
Previous fractures or surgeries in the area.

Diagnostic Tests Before Procedure

Several diagnostic tests are essential 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 crucial for a successful outcome.

Discuss medical history and medications with the surgeon.
Avoid eating or drinking for a specified period before surgery.
Arrange for transportation to and from the hospital.
Follow any specific instructions provided by the healthcare team.

Recovery and Aftercare

Post-operative care is vital 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 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 or elbow.

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Post-Procedure Follow-Up

Regular follow-up is essential to monitor recovery.

Initial follow-up within 1 to 2 weeks post-surgery.
Subsequent visits every 4 to 6 weeks to assess healing.
X-rays may be taken to ensure proper alignment and healing.

Alternative Treatments

Non-surgical options may be considered in certain cases.

Casting or splinting for non-displaced fractures.
Physical therapy to strengthen surrounding muscles.
Pain management with medications and rest.

Home Care Tips

Patients can take several steps to aid recovery at home.

Keep the arm elevated to reduce swelling.
Apply ice packs to the surgical site as directed.
Avoid heavy lifting or strenuous activities until cleared by the doctor.
Follow a balanced diet to support healing.

Patient Education & Prevention

Education is key to preventing future injuries.

Engage in strength training to improve bone health.
Use protective gear during sports and high-risk activities.
Maintain a healthy lifestyle to reduce the risk of osteoporosis.

Billing and Coding Information

CPT Code: 24535

Category: Surgical Procedures

Common Modifiers:

50 - Bilateral procedure
RT - Right side
LT - Left side

Average Cost and Insurance Coverage

Costs can vary based on several factors.

Average cost ranges from $10,000 to $20,000.
Insurance typically covers surgical procedures, but verification is recommended.
Out-of-pocket costs depend on the insurance plan and deductible.