Overview of CPT Code 25295: Repair of tendon in forearm

Overview of CPT Code 25295: Repair of tendon in forearm

CPT Code 25295 refers to the surgical repair of a tendon in the forearm, typically performed to restore function and alleviate pain following tendon injury or rupture.

When CPT Code 25295 is Used?

This procedure is indicated in various clinical scenarios.

• Complete rupture of a forearm tendon due to trauma.
• Partial tendon tears that cause significant functional impairment.
• Tendon injuries resulting from sports activities or accidents.
• Tendon repair needed after surgical debridement of damaged tissue.

Symptoms Indicating This Procedure

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

• Severe pain in the forearm, especially during movement.
• Swelling and bruising around the injury site.
• Weakness or inability to use the affected hand or wrist.
• A noticeable gap or deformity in the tendon area.

Causes and Risk Factors

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

• Acute injuries from falls or direct impacts.
• Chronic overuse injuries from repetitive motions.
• Certain sports activities that place stress on the forearm.
• 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 the extent of tendon damage.
• Ultrasound to visualize soft tissue injuries.
• Physical examination to evaluate range of motion and strength.

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 using appropriate techniques.
• Close the incision with sutures or staples.
• Apply a dressing and immobilize the area as needed.

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

Recovery and Aftercare

Post-operative care is crucial for healing.

• Rest the affected arm and avoid strenuous activities.
• Follow up with your surgeon for suture removal and assessment.
• Use prescribed pain medications as directed.
• Engage in physical therapy as recommended to regain strength.

Possible Complications

While complications are rare, they can occur.

• Infection at the surgical site.
• Nerve damage leading to numbness or weakness.
• Tendon re-rupture or improper healing.
• Scarring or stiffness in the forearm.

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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 sessions as prescribed.
• Long-term follow-up to monitor for any complications.

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.

• Keep the surgical site clean and dry.
• Apply ice to reduce swelling as needed.
• Follow a balanced diet to support healing.
• Avoid smoking, as it can impede recovery.

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.
• Seek prompt medical attention for any forearm injuries.

Billing and Coding Information

CPT Code: 25295

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 $10,000.
• Insurance typically covers the procedure if deemed medically necessary.
• Out-of-pocket costs depend on the patient's insurance plan.

Related CPT Codes

• 25290 - Repair of tendon sheath, forearm