Overview of CPT Code 24625: Open treatment of distal radius fracture
CPT Code 24625 refers to the open treatment of a fracture of the distal radius, which is the larger of the two bones in the forearm. This procedure is typically performed when a fracture is displaced or unstable, requiring surgical intervention to realign and stabilize the bone.
When CPT Code 24625 is Used?
This code is applicable in various clinical scenarios, including:
- Displaced distal radius fractures that cannot be aligned properly through closed reduction.
- Fractures associated with significant wrist instability.
- Fractures that have not healed properly with conservative treatment.
- Fractures resulting from high-energy trauma, such as falls or accidents.
Symptoms Indicating This Procedure
Patients may present with the following symptoms:
- Severe pain in the wrist area.
- Swelling and bruising around the fracture site.
- Deformity or abnormal positioning of the wrist.
- Inability to move the wrist or fingers.
Causes and Risk Factors
Understanding the causes and risk factors can help in prevention and management.
- Falls, particularly in older adults.
- Sports injuries, especially in contact sports.
- Osteoporosis, which weakens bones.
- High-impact accidents, such as car crashes.
Diagnostic Tests Before Procedure
Several diagnostic tests may be performed to confirm the need for surgery:
- X-rays to visualize the fracture and assess its alignment.
- CT scans for detailed imaging of complex fractures.
- MRI in cases where soft tissue injury is suspected.
Procedure Description
The open treatment procedure 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 into their proper position.
- Stabilize the fracture using plates, screws, or pins.
- Close the incision with sutures or staples.
Preparation for the Procedure
Patients should follow these steps to prepare for surgery:
- Avoid eating or drinking after midnight before the surgery.
- Discuss any medications with the surgeon, especially blood thinners.
- Arrange for transportation to and from the hospital.
- Wear loose-fitting clothing on the day of the procedure.
Recovery and Aftercare
Post-operative recovery typically involves:
- Wearing a splint or cast for several weeks.
- Taking prescribed pain medications as needed.
- Engaging in physical therapy to regain strength and mobility.
- Monitoring the surgical site for signs of infection.
Possible Complications
While complications are rare, they can occur and may include:
- Infection at the surgical site.
- Nerve or blood vessel damage.
- Nonunion or malunion of the fracture.
- Stiffness or loss of motion in the wrist.
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Post-Procedure Follow-Up
Follow-up appointments are crucial for monitoring recovery:
- Initial follow-up within 1-2 weeks to check the surgical site.
- Subsequent visits every 4-6 weeks to assess healing.
- Physical therapy sessions as recommended by the surgeon.
Alternative Treatments
In some cases, non-surgical options may be considered:
- Closed reduction and immobilization with a cast.
- Physical therapy for minor fractures.
- Pain management with medications.
Home Care Tips
Patients can follow these tips for effective home care:
- Keep the surgical area clean and dry.
- Elevate the wrist to reduce swelling.
- Follow the prescribed medication schedule.
- Engage in gentle exercises as advised by the therapist.
Patient Education & Prevention
Educating patients on prevention can reduce recurrence:
- Maintain bone health through diet and exercise.
- Use protective gear during sports.
- Take precautions to prevent falls, especially in older adults.
Billing and Coding Information
CPT Code: 24625
Category: Surgery
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 $5,000 to $15,000.
- Insurance typically covers surgical procedures, but co-pays may apply.
- Pre-authorization may be required by some insurance plans.
Related CPT Codes
Frequently Asked Questions (FAQs)
What is a distal radius fracture?
A distal radius fracture is a break in the larger bone of the forearm near the wrist.
How long does recovery take?
Recovery can take several weeks to months, depending on the severity of the fracture.
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, and discharge from the surgical site.
