Overview of CPT Code 25259: Repair of tendon sheath, forearm

Overview of CPT Code 25259: Repair of tendon sheath, forearm

CPT Code 25259 refers to the surgical repair of the tendon sheath in the forearm, which is essential for restoring function and mobility in the affected area.

When CPT Code 25259 is Used?

This procedure is indicated in various clinical scenarios.

• Severe laceration of the tendon sheath due to trauma.
• Tendon sheath rupture from repetitive strain injuries.
• Infection or inflammation of the tendon sheath requiring surgical intervention.
• Post-surgical repair of tendon injuries where sheath integrity is compromised.

Symptoms Indicating This Procedure

Patients may present with several symptoms that necessitate this procedure.

• Pain and swelling in the forearm.
• Limited range of motion in the wrist or fingers.
• Tenderness along the tendon sheath.
• Visible deformity or abnormal positioning of the fingers.

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.
• Previous surgeries or trauma to the forearm.

Diagnostic Tests Before Procedure

Several diagnostic tests may be performed to assess the condition of the tendon sheath.

• X-rays to rule out fractures.
• Ultrasound to visualize soft tissue structures.
• MRI for detailed imaging of tendon and sheath integrity.
• Blood tests to check for signs of infection or inflammation.

Procedure Description

The procedure involves several key steps to ensure successful repair.

• Administer anesthesia to the patient.
• Make an incision over the affected tendon sheath.
• Carefully dissect the tissue to expose the tendon sheath.
• Repair the sheath using sutures or grafts as necessary.
• Close the incision with sutures or staples.
• Apply a sterile dressing to the surgical site.

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 healthcare provider.
• Arrange for transportation to and from the procedure.
• Wear loose-fitting clothing on the day of the surgery.

Recovery and Aftercare

Post-operative care is essential for healing.

• Rest the affected arm and avoid strenuous activities.
• Keep the surgical site clean and dry.
• Follow up with your healthcare provider for suture removal.
• 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.
• Scarring or adhesions affecting mobility.
• Re-rupture of the tendon sheath.

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Post-Procedure Follow-Up

Regular follow-up is important for monitoring recovery.

• Initial follow-up within 1-2 weeks post-surgery.
• Subsequent visits every 4-6 weeks to assess healing.
• Physical therapy may be recommended to regain strength and mobility.

Alternative Treatments

Non-surgical options may be considered in certain cases.

• Physical therapy to strengthen surrounding muscles.
• Corticosteroid injections to reduce inflammation.
• Bracing or splinting to immobilize the area.
• Activity modification to prevent further injury.

Home Care Tips

Simple home care can aid in recovery.

• Keep the surgical area clean and dry.
• Apply ice packs to reduce swelling.
• Elevate the arm to minimize swelling.
• Follow all post-operative instructions from your healthcare provider.

Patient Education & Prevention

Education is key to preventing future issues.

• Engage in proper warm-up exercises before physical activities.
• Use ergonomic tools to reduce strain on the forearm.
• Take breaks during repetitive tasks to prevent overuse injuries.
• Seek prompt medical attention for any forearm injuries.

Billing and Coding Information

CPT Code: 25259

Category: Surgery

Common Modifiers:

• -50
• -RT
• -LT

Average Cost and Insurance Coverage

Costs can vary based on several factors.

• Average cost ranges from $3,000 to $7,000.
• Insurance may cover a significant portion of the procedure.
• Out-of-pocket costs depend on the specific insurance plan.

Related CPT Codes

• 25260 - Excision of forearm tumor