Overview of CPT Code 25274: Repair of tendon in forearm

Overview of CPT Code 25274: Repair of tendon in forearm

CPT Code 25274 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 25274 is Used?

This procedure is indicated in various clinical scenarios.

• Complete rupture of a forearm tendon due to trauma.
• Partial tendon tears that do not heal properly.
• Tendon injuries resulting from sports or occupational activities.
• Tendon lacerations caused by sharp objects.

Symptoms Indicating This Procedure

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

• Severe pain in the forearm.
• Inability to move the wrist or fingers.
• Swelling and bruising around the injury site.
• A noticeable gap or defect in the tendon.

Causes and Risk Factors

Understanding the causes and risk factors can help in prevention.

• Acute injuries from falls or accidents.
• Chronic overuse injuries from repetitive motions.
• Certain sports activities that put stress on the forearm.
• Underlying conditions like rheumatoid arthritis that weaken tendons.

Diagnostic Tests Before Procedure

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

• MRI to visualize tendon damage.
• Ultrasound to assess tendon integrity.
• X-rays to rule out associated bone injuries.
• 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 assess the extent of the tendon injury.
• Suture the tendon ends together or use graft material if necessary.
• Close the incision with sutures or staples.

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 if not properly rehabilitated.
• 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 functional recovery.

Alternative Treatments

Non-surgical options may be considered in certain cases.

• Physical therapy to strengthen the forearm muscles.
• Bracing or splinting to immobilize the tendon.
• Corticosteroid injections to reduce inflammation.
• Activity modification to avoid further injury.

Home Care Tips

Patients can take steps at home to aid recovery.

• Apply ice to reduce swelling in the first 48 hours.
• Elevate the arm to minimize swelling.
• Follow a prescribed rehabilitation program.
• Monitor for signs of infection, such as increased redness or discharge.

Patient Education & Prevention

Education is key to preventing future injuries.

• Engage in proper warm-up exercises before physical activities.
• Use protective gear during sports to minimize injury risk.
• Strengthen forearm muscles through targeted exercises.
• Avoid repetitive motions that strain the tendons.

Billing and Coding Information

CPT Code: 25274

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 $10,000.
• Insurance may cover a significant portion of the procedure.
• Out-of-pocket costs depend on the patient's insurance plan.

Related CPT Codes

• 25275 - Repair of tendon sheath, forearm