Overview of CPT Code 25246: Repair of tendon in forearm
CPT Code 25246 refers to the surgical repair of a tendon in the forearm, typically performed to restore function after a tendon injury or rupture.
When CPT Code 25246 is Used?
This procedure is indicated in various clinical scenarios.
- Complete rupture of a forearm tendon due to trauma.
- Tendon laceration from sharp objects or accidents.
- Chronic tendon injuries that have not healed with conservative treatment.
- Tendon repair needed after surgical release of a constricted tendon.
Symptoms Indicating This Procedure
Patients may present with several symptoms that warrant this surgical intervention.
- Severe pain in the forearm, especially during movement.
- Swelling and bruising around the injury site.
- Inability to move the wrist or fingers properly.
- A noticeable gap or defect in the tendon area.
Causes and Risk Factors
Understanding the causes and risk factors can help in prevention.
- Sports injuries, particularly in contact sports.
- Accidents involving machinery or sharp tools.
- Chronic overuse injuries from repetitive motions.
- Underlying conditions such as diabetes or rheumatoid arthritis that weaken tendons.
Diagnostic Tests Before Procedure
Several diagnostic tests may be performed to confirm the need for surgery.
- X-rays to rule out bone fractures.
- Ultrasound to assess tendon integrity.
- MRI to visualize soft tissue damage and tendon condition.
- Physical examination to evaluate range of motion and pain.
Procedure Description
The surgical procedure involves several key steps.
- Administer anesthesia to ensure patient comfort.
- Make an incision over the affected tendon.
- Identify and expose the damaged tendon.
- Suture the tendon ends together using appropriate techniques.
- Close the incision with sutures or staples.
- Apply a dressing to protect the surgical site.
Preparation for the Procedure
Proper preparation is essential 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 crucial for healing.
- Rest the arm and avoid strenuous activities for several weeks.
- Keep the surgical site clean and dry.
- Follow up with physical therapy as recommended.
- Take prescribed pain medications as needed.
Possible Complications
While complications are rare, they can occur.
- Infection at the surgical site.
- Nerve damage leading to numbness or weakness.
- Tendon re-rupture or improper healing.
- Scarring or stiffness in the forearm.
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Post-Procedure Follow-Up
Regular follow-up is important to monitor recovery.
- Initial follow-up within 1-2 weeks post-surgery.
- Subsequent visits every 4-6 weeks to assess healing.
- Physical therapy sessions as prescribed by the physician.
- Long-term follow-up to evaluate tendon function.
Alternative Treatments
Non-surgical options may be considered in some cases.
- Physical therapy to strengthen surrounding muscles.
- Corticosteroid injections to reduce inflammation.
- Bracing or splinting to immobilize the area.
- Activity modification to avoid further injury.
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 site for pain relief.
- Follow a balanced diet to support healing.
- Avoid smoking, as it can impede recovery.
Patient Education & Prevention
Education is key to preventing future injuries.
- Engage in proper warm-up exercises before physical activities.
- Use protective gear during sports and high-risk activities.
- Strengthen forearm muscles to support tendon health.
- Seek prompt treatment for any forearm injuries.
Billing and Coding Information
CPT Code: 25246
Category: Surgery
Common Modifiers:
- 50 - Bilateral procedure
- 59 - Distinct procedural service
Average Cost and Insurance Coverage
Costs can vary based on several factors.
- Average cost ranges from $3,000 to $10,000.
- Insurance may cover a significant portion if deemed medically necessary.
- Out-of-pocket costs depend on the patient's insurance plan.
Related CPT Codes
Frequently Asked Questions (FAQs)
What is the recovery time for this procedure?
Recovery typically takes 6 to 12 weeks, depending on the extent of the injury.
Will I need physical therapy after surgery?
Yes, physical therapy is often recommended to regain strength and mobility.
Are there any risks associated with this surgery?
As with any surgery, there are risks such as infection and nerve damage.
How long will I be in the hospital?
Most patients can go home the same day or after a short overnight stay.
