Overview of CPT Code 24665: Open treatment of distal radius fracture

CPT Code 24665 refers to the open surgical treatment of a fracture in 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 24665 is Used?

This procedure is indicated in several clinical scenarios.

Displaced distal radius fractures that cannot be aligned properly with closed reduction.
Fractures with associated injuries to the wrist or surrounding structures.
Fractures that are unstable and at risk of nonunion or malunion.

Symptoms Indicating This Procedure

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

Severe pain in the wrist area.
Swelling and bruising around the fracture site.
Decreased range of motion in the wrist.
Visible deformity or abnormal positioning of the wrist.

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 and increases fracture risk.
High-impact accidents, such as motor vehicle collisions.

Diagnostic Tests Before Procedure

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

X-rays to visualize the fracture and assess displacement.
CT scans for detailed imaging of complex fractures.
MRI may be used to evaluate soft tissue injuries.

Procedure Description

The open treatment of a distal radius 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 into their proper position.
Stabilize the fracture using plates, screws, or pins.
Close the incision with sutures and apply a dressing.

Preparation for the Procedure

Proper preparation is crucial for a successful outcome.

Avoid eating or drinking for at least 8 hours before surgery.
Discuss any medications with your doctor, especially blood thinners.
Arrange for transportation to and from the surgical facility.
Wear loose-fitting clothing on the day of the procedure.

Recovery and Aftercare

Post-operative care is vital for healing.

Expect a recovery period of 6 to 12 weeks, depending on the fracture severity.
Keep the surgical site 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 motion in the wrist.

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Post-Procedure Follow-Up

Regular follow-up is essential for monitoring recovery.

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

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 and rest.

Home Care Tips

Effective home care can enhance recovery.

Keep the wrist elevated to reduce swelling.
Apply ice packs to the area for pain relief.
Follow all post-operative instructions from your surgeon.
Engage in gentle exercises as advised by your therapist.

Patient Education & Prevention

Education is key to preventing future injuries.

Maintain bone health through a balanced diet rich in calcium and vitamin D.
Engage in weight-bearing exercises to strengthen bones.
Use protective gear during sports and high-risk activities.
Take precautions to prevent falls, especially in older adults.

Billing and Coding Information

CPT Code: 24665

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 depending on facility and complexity.
Most insurance plans cover surgical treatment for fractures.
Out-of-pocket costs may vary based on deductible and co-insurance.