Overview of CPT Code 25290: Repair of tendon sheath, forearm

Overview of CPT Code 25290: Repair of tendon sheath, forearm

CPT Code 25290 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 25290 is Used?

This procedure is indicated in various clinical scenarios.

• Tendon sheath laceration due to trauma.
• Chronic tendon sheath inflammation or tenosynovitis.
• Reconstruction of the tendon sheath following surgical excision of a tumor.

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 wrist or fingers.
• Tenderness along the tendon sheath.
• Visible deformity or abnormal positioning of the fingers.

Causes and Risk Factors

Understanding the underlying causes can help in prevention and management.

• 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 the tendon and sheath.

Procedure Description

The surgical procedure involves several key steps.

• 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 home post-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 prescribed pain medications as needed.
• 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 for monitoring recovery.

• Initial follow-up within 1-2 weeks post-surgery.
• Additional visits as needed to assess healing and function.
• Physical therapy may be recommended to regain strength.

Alternative Treatments

Non-surgical options may be considered in some cases.

• Physical therapy to strengthen the forearm muscles.
• Corticosteroid injections to reduce inflammation.
• Bracing or splinting to immobilize the area.

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 balanced diet to support healing.

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.
• Seek early treatment for any forearm injuries.

Billing and Coding Information

CPT Code: 25290

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 $7,000.
• Insurance typically covers the procedure if deemed medically necessary.

Related CPT Codes

• 10000 - Incision and drainage of a cyst