Overview of CPT Code 25425: Repair of ruptured tendon, forearm
CPT Code 25425 refers to the surgical repair of a ruptured tendon in the forearm, which is essential for restoring function and strength to the affected arm.
When CPT Code 25425 is Used?
This procedure is indicated in various clinical scenarios.
- Complete rupture of the flexor or extensor tendons in the forearm.
- Tendon injuries resulting from trauma or accidents.
- Tendon ruptures due to chronic conditions like rheumatoid arthritis.
Symptoms Indicating This Procedure
Patients may present with several symptoms that necessitate 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 and early intervention.
- Acute injuries from falls or sports activities.
- Chronic overuse injuries from repetitive motions.
- Underlying conditions such as diabetes or inflammatory diseases.
Diagnostic Tests Before Procedure
Several diagnostic tests may be performed to confirm the need for surgery.
- Physical examination to assess range of motion and tenderness.
- Ultrasound imaging to visualize tendon integrity.
- MRI scans to evaluate the extent of the injury.
Procedure Description
The surgical procedure involves several key steps.
- Administer anesthesia to ensure patient comfort.
- Make an incision over the site of the tendon rupture.
- Identify and expose the ruptured tendon.
- Suture the tendon ends together using strong, durable stitches.
- 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 surgical facility.
Recovery and Aftercare
Post-operative care is essential for healing.
- Rest the arm and avoid strenuous activities for several weeks.
- Keep the surgical site clean and dry.
- Follow prescribed pain management and anti-inflammatory medications.
- Attend physical therapy sessions as recommended.
Possible Complications
While complications are rare, they can occur.
- Infection at the surgical site.
- Nerve damage leading to numbness or weakness.
- Re-rupture of the tendon.
- 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.
- Long-term follow-up to evaluate functional recovery.
Alternative Treatments
Non-surgical options may be considered in certain cases.
- Physical therapy to strengthen surrounding muscles.
- Bracing or splinting to immobilize the area.
- Corticosteroid injections to reduce inflammation.
Home Care Tips
Patients can take several 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 injuries.
- Engage in proper warm-up exercises before physical activities.
- Use protective gear during sports.
- Strengthen forearm muscles to prevent overuse injuries.
Billing and Coding Information
CPT Code: 25425
Category: Surgery
Common Modifiers:
- -50
- -RT
- -LT
Average Cost and Insurance Coverage
Costs can vary based on several factors.
- Average cost ranges from $5,000 to $15,000.
- Insurance typically covers the procedure if deemed medically necessary.
Related CPT Codes
Frequently Asked Questions (FAQs)
What is a ruptured tendon?
A ruptured tendon is a tear in the fibrous tissue that connects muscle to bone.
How long does recovery take?
Recovery can take several weeks to months, depending on the severity of the injury.
Will I need physical therapy?
Yes, physical therapy is often recommended to regain strength and mobility.
