Overview of CPT Code 25263: Repair of tendon sheath, forearm

Overview of CPT Code 25263: Repair of tendon sheath, forearm

CPT Code 25263 refers to the surgical repair of the tendon sheath in the forearm, which is essential for restoring function and mobility in patients with tendon injuries.

When CPT Code 25263 is Used?

This procedure is indicated in various clinical scenarios.

• Ruptured or lacerated tendon sheath due to trauma.
• Chronic tendon sheath inflammation or tenosynovitis.
• Post-surgical repair of tendon injuries requiring sheath reconstruction.

Symptoms Indicating This Procedure

Patients may present with several symptoms that warrant this surgical intervention.

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

Causes and Risk Factors

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

• Acute injuries from falls or accidents.
• Repetitive strain injuries from overuse.
• Underlying conditions such as rheumatoid arthritis or diabetes.

Diagnostic Tests Before Procedure

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

• X-rays to rule out fractures.
• Ultrasound to assess soft tissue damage.
• MRI for detailed imaging of tendon and sheath structures.

Procedure Description

The surgical procedure involves several key steps.

• Administer anesthesia to ensure patient comfort.
• Make an incision over the affected tendon sheath.
• Carefully dissect the tissue to expose the tendon sheath.
• Repair the tendon sheath using sutures or grafts as necessary.
• Close the incision with sutures or staples.

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 home post-surgery.

Recovery and Aftercare

Post-operative care is essential for optimal recovery.

• Rest the affected arm and avoid strenuous activities.
• Keep the surgical site clean and dry.
• Follow prescribed pain management and anti-inflammatory medications.
• Attend follow-up appointments for suture removal and assessment.

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.

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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 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.
• Activity modification to avoid aggravating the condition.

Home Care Tips

Simple home care can aid in recovery.

• Apply ice to reduce swelling in the first 48 hours.
• Elevate the arm to minimize swelling.
• Follow a balanced diet to support healing.

Patient Education & Prevention

Education is key to preventing future injuries.

• Engage in proper warm-up exercises before physical activities.
• Use ergonomic tools to reduce strain on the forearm.
• Seek early treatment for any forearm pain or discomfort.

Billing and Coding Information

CPT Code: 25263

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 the procedure if deemed medically necessary.
• Check with your provider for specific coverage details.

Related CPT Codes

• 25260 - Excision of forearm tumor