Overview of CPT Code 24680:Repair of complete distal biceps tendon rupture
CPT Code 24680 refers to the surgical repair of a complete rupture of the distal biceps tendon, which connects the biceps muscle to the forearm. This procedure is typically performed when the tendon is completely torn, often due to acute injury or trauma, and aims to restore function and strength to the elbow and forearm.
When CPT Code 24680 is Used?
This procedure is indicated in specific clinical scenarios.
- Complete rupture of the distal biceps tendon confirmed by clinical examination.
- Significant weakness in elbow flexion or forearm supination.
- Acute injury resulting from heavy lifting or sports activities.
Symptoms Indicating This Procedure
Patients may report various symptoms that suggest the need for this surgical intervention.
- Sudden pain in the front of the elbow.
- A noticeable bulge in the upper arm (Popeye deformity).
- Weakness in bending the elbow or rotating the forearm.
Causes and Risk Factors
Understanding the causes and risk factors can help in prevention.
- Heavy lifting or repetitive overhead activities.
- Sports injuries, particularly in weightlifting or racquet sports.
- Age-related degeneration of the tendon.
Diagnostic Tests Before Procedure
Several diagnostic tests may be performed to confirm the diagnosis.
- Physical examination to assess strength and range of motion.
- Ultrasound imaging to visualize the tendon.
- MRI to confirm the extent of the rupture.
Procedure Description
The surgical procedure involves several key steps.
- Administer anesthesia to the patient.
- Make an incision in the front of the elbow.
- Identify the ruptured tendon and prepare the site for repair.
- Reattach the tendon to the bone using sutures or anchors.
- Close the incision with sutures and apply a sterile dressing.
Preparation for the Procedure
Proper preparation is essential for a successful surgery.
- Avoid eating or drinking for at least 8 hours before surgery.
- Discuss any medications with your surgeon, especially blood thinners.
- Arrange for transportation to and from the surgical facility.
Recovery and Aftercare
Post-operative care is crucial for optimal recovery.
- Expected recovery period is 4 to 6 months for full function.
- Keep the surgical area 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 damage leading to weakness or numbness.
- Re-rupture of the tendon.
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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 sessions to aid recovery.
Alternative Treatments
Non-surgical options may be considered in certain cases.
- Physical therapy to strengthen the surrounding muscles.
- Bracing to support the elbow during recovery.
- Corticosteroid injections to reduce inflammation.
Home Care Tips
Patients can take steps at home to aid recovery.
- Keep the arm elevated to reduce swelling.
- Apply ice packs to the surgical area as needed.
- Follow a prescribed rehabilitation program diligently.
Patient Education & Prevention
Education on prevention can help avoid future injuries.
- Engage in proper warm-up exercises before physical activities.
- Use correct lifting techniques to avoid strain.
- Strengthen arm muscles to support tendon health.
Billing and Coding Information
CPT Code: 24680
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.
- Most insurance plans cover 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 distal biceps tendon rupture?
It is a complete tear of the tendon that connects the biceps muscle to the forearm.
How long does recovery take?
Recovery typically takes 4 to 6 months for full function.
Will I need physical therapy?
Yes, physical therapy is often recommended to regain strength and mobility.
