Overview of CPT Code 25393:Repair of tendon sheath

Overview of CPT Code 25393:Repair of tendon sheath

CPT Code 25393 refers to the surgical repair of a tendon sheath, which is a protective covering surrounding a tendon. This procedure is typically performed to restore function and alleviate pain caused by tendon sheath injuries or conditions.

When CPT Code 25393 is Used?

This procedure is indicated in various clinical scenarios.

• Tendon sheath laceration due to trauma.
• Tendon sheath inflammation or tenosynovitis.
• Recurrent tendon sheath issues requiring surgical intervention.
• Post-surgical repair of tendon sheath complications.

Symptoms Indicating This Procedure

Patients may present with several symptoms that warrant this procedure.

• Pain and swelling around the affected joint.
• Limited range of motion in the affected area.
• Tenderness upon palpation of the tendon sheath.
• Visible deformity or abnormal positioning of 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.
• Underlying conditions such as rheumatoid arthritis.
• Previous surgeries or trauma to the area.

Diagnostic Tests Before Procedure

Several diagnostic tests may be performed to assess the condition.

• X-rays to rule out fractures.
• Ultrasound to visualize soft tissue structures.
• MRI for detailed imaging of tendon and sheath.
• Blood tests to check for inflammatory markers.

Procedure Description

The procedure involves several key steps.

• Administer anesthesia to ensure patient comfort.
• Make an incision over the affected tendon sheath.
• Carefully dissect and expose the tendon sheath.
• Repair the sheath using sutures or other materials.
• 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 current medications with your healthcare provider.
• Arrange for transportation to and from the procedure.
• Wear loose-fitting clothing on the day of the surgery.

Recovery and Aftercare

Post-operative care is crucial for recovery.

• Rest the affected area and avoid strenuous activities.
• Keep the surgical site clean and dry.
• Follow prescribed pain management protocols.
• 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.
• Recurrence of tendon sheath issues.

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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 until full recovery.
• Physical therapy may be recommended to regain strength.
• Monitor for any signs of complications during follow-up.

Alternative Treatments

Non-surgical options may be considered.

• Physical therapy to strengthen surrounding muscles.
• Corticosteroid injections to reduce inflammation.
• Rest and activity modification to prevent further injury.
• Use of splints or braces to immobilize the area.

Home Care Tips

Patients can take steps to aid their recovery at home.

• Apply ice to reduce swelling in the first 48 hours.
• Elevate the affected limb to minimize swelling.
• Follow a balanced diet to support healing.
• Stay hydrated and avoid smoking to enhance recovery.

Patient Education & Prevention

Education is key to preventing future issues.

• Engage in proper warm-up exercises before physical activity.
• Use ergonomic tools to reduce strain on tendons.
• Take breaks during repetitive tasks to prevent overuse.
• Seek early treatment for any signs of tendon issues.

Billing and Coding Information

CPT Code: 25393

Category: Surgery

Common Modifiers:

• -50
• -RT
• -LT

Average Cost and Insurance Coverage

Costs can vary based on several factors.

• Average cost ranges from $2,000 to $5,000.
• Insurance may cover a significant portion of the cost.
• Out-of-pocket expenses depend on the insurance plan.
• Pre-authorization may be required by some insurers.

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