Overview of CPT Code 25248: Repair of tendon, forearm, or wrist

CPT Code 25248 refers to the surgical repair of a tendon in the forearm or wrist. This procedure is typically performed to restore function and alleviate pain caused by tendon injuries or ruptures.

When CPT Code 25248 is Used?

This code is applicable in various clinical scenarios, including:

Ruptured or torn tendons in the forearm or wrist due to trauma.
Tendinitis that has not responded to conservative treatments.
Tendon injuries resulting from repetitive stress or overuse.
Tendon lacerations from cuts or accidents.

Symptoms Indicating This Procedure

Patients may report the following symptoms that indicate the need for this procedure:

Severe pain in the forearm or wrist.
Swelling and tenderness around the affected tendon.
Limited range of motion in the wrist or forearm.
Weakness when trying to grip or lift objects.

Causes and Risk Factors

Understanding the causes and risk factors can help in prevention and early intervention.

Acute injuries from falls or accidents.
Chronic overuse injuries from repetitive motions.
Underlying conditions such as rheumatoid arthritis.
Age-related degeneration of tendons.

Diagnostic Tests Before Procedure

Several diagnostic tests may be performed to confirm the need for surgery:

X-rays to rule out fractures.
MRI to assess the extent of tendon damage.
Ultrasound to visualize tendon structure and function.
Physical examination to evaluate range of motion and strength.

Procedure Description

The procedure typically involves the following steps:

Administer anesthesia to ensure patient comfort.
Make an incision over the affected tendon.
Carefully expose the tendon and assess the injury.
Suture the tendon back together or repair it as necessary.
Close the incision with sutures or staples.
Apply a dressing to protect the surgical site.

Preparation for the Procedure

Patients should follow these steps to prepare for surgery:

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

Recovery and Aftercare

Post-operative recovery typically involves:

Resting the affected arm and avoiding strenuous activities.
Keeping the surgical site clean and dry.
Taking prescribed pain medications as needed.
Attending follow-up appointments for suture removal and assessment.

Possible Complications

While complications are rare, they can occur and may include:

Infection at the surgical site.
Nerve damage leading to numbness or weakness.
Tendon re-rupture or failure to heal properly.
Scarring or stiffness in the wrist or forearm.

Secure, compliant, and built for trust

HIPAA-compliant and designed with privacy in mind, your patient’s data is protected. Focus on care while we safeguard your information.

Learn more

Post-Procedure Follow-Up

Follow-up care is crucial for optimal recovery:

Initial follow-up within 1-2 weeks post-surgery.
Regular assessments every few weeks to monitor healing.
Physical therapy may be recommended to regain strength and mobility.

Alternative Treatments

Before considering surgery, patients may explore these options:

Physical therapy to strengthen surrounding muscles.
Corticosteroid injections to reduce inflammation.
Bracing or splinting to immobilize the wrist.
Activity modification to avoid aggravating the injury.

Home Care Tips

Patients can follow these tips for effective home care:

Keep the surgical area clean and dry.
Apply ice packs to reduce swelling.
Follow the prescribed medication schedule.
Engage in gentle exercises as advised by the healthcare provider.

Patient Education & Prevention

Educating patients on prevention can help avoid future injuries:

Warm up before engaging in physical activities.
Use proper techniques when lifting or performing repetitive tasks.
Strengthen forearm and wrist muscles through targeted exercises.
Take breaks during repetitive activities to reduce strain.

Billing and Coding Information

CPT Code: 25248

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 depending on facility and complexity.
Most insurance plans cover the procedure if deemed medically necessary.
Patients should verify coverage details with their insurance provider.