Overview of CPT Code 25272: Repair of tendon sheath, wrist

Overview of CPT Code 25272: Repair of tendon sheath, wrist

CPT Code 25272 refers to the surgical repair of the tendon sheath in the wrist, which is essential for restoring function and alleviating pain caused by tendon injuries or conditions.

When CPT Code 25272 is Used?

This procedure is indicated in various clinical scenarios.

• Tendon sheath laceration due to trauma.
• Tendon sheath inflammation or tenosynovitis.
• Reconstruction of the tendon sheath following a previous injury or surgery.

Symptoms Indicating This Procedure

Patients may report several symptoms that necessitate this surgical intervention.

• Persistent pain in the wrist area.
• Swelling and tenderness around the tendon sheath.
• Limited range of motion in the wrist.
• Clicking or popping sounds during wrist movement.

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 wrist movements.
• 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.
• MRI to assess soft tissue damage.
• Ultrasound to evaluate tendon sheath conditions.

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 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 to and from the procedure.

Recovery and Aftercare

Post-operative care is essential for healing.

• Rest the wrist and avoid strenuous activities for several weeks.
• Keep the surgical site clean and dry.
• Follow up with prescribed pain medications as needed.
• Attend follow-up appointments to monitor healing.

Possible Complications

While complications are rare, they can occur.

• Infection at the surgical site.
• Nerve damage leading to numbness or weakness.
• Scarring or stiffness in the wrist.

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Post-Procedure Follow-Up

Regular follow-up is important for assessing recovery.

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

Alternative Treatments

Non-surgical options may be considered before surgery.

• Physical therapy to strengthen the wrist.
• Corticosteroid injections to reduce inflammation.
• Bracing or splinting to immobilize the wrist.

Home Care Tips

Simple home care can aid in recovery.

• Apply ice to reduce swelling.
• Elevate the wrist to minimize pain.
• Follow a gentle range of motion exercises as advised.

Patient Education & Prevention

Education on prevention can help avoid future issues.

• Use proper techniques during repetitive wrist activities.
• Take regular breaks to prevent overuse injuries.
• Strengthen wrist muscles through targeted exercises.

Billing and Coding Information

CPT Code: 25272

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.

Related CPT Codes

• 25270 - Excision of Forearm Tumor