Overview of CPT Code 25440: Open treatment of distal radius fracture
CPT Code 25440 refers to the open treatment of a distal radius fracture, a common injury that occurs in the wrist area. This procedure involves surgically realigning the fractured bone and stabilizing it with hardware to ensure proper healing.
When CPT Code 25440 is Used?
This code is applicable in various clinical scenarios, including:
- Displaced distal radius fractures requiring surgical intervention.
- Fractures that cannot be adequately aligned through closed reduction.
- Fractures associated with significant soft tissue injury.
Symptoms Indicating This Procedure
Patients may present with the following symptoms:
- Severe pain in the wrist area.
- Swelling and bruising around the fracture site.
- Decreased range of motion in the wrist.
- Visible deformity or abnormal positioning of the wrist.
Causes and Risk Factors
Understanding the causes and risk factors can help in prevention and management.
- Falls, particularly in older adults.
- Sports injuries, especially in contact sports.
- Osteoporosis, which weakens bones and increases fracture risk.
Diagnostic Tests Before Procedure
Several diagnostic tests may be performed to confirm the fracture and assess its severity:
- X-rays to visualize the fracture.
- CT scans for detailed imaging of complex fractures.
- MRI if soft tissue injury is suspected.
Procedure Description
The open treatment procedure typically involves the following steps:
- Administer anesthesia to the patient.
- Make an incision over the fracture site.
- Realign the fractured bone fragments.
- Stabilize the fracture using plates, screws, or pins.
- Close the incision with sutures or staples.
Preparation for the Procedure
Patients should follow these steps to prepare for surgery:
- Avoid eating or drinking after midnight before the surgery.
- Discuss any medications with the healthcare provider.
- Arrange for transportation to and from the procedure.
Recovery and Aftercare
Post-operative recovery typically includes:
- Wearing a splint or cast for several weeks.
- Taking prescribed pain medications as needed.
- Attending follow-up appointments for monitoring.
Possible Complications
While complications are rare, they can occur and may include:
- Infection at the surgical site.
- Nerve or blood vessel damage.
- Nonunion or malunion of the fracture.
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Post-Procedure Follow-Up
Follow-up care is crucial for recovery:
- Initial follow-up within 1-2 weeks post-surgery.
- Regular check-ups every few weeks to monitor healing.
- Physical therapy may be recommended to regain strength.
Alternative Treatments
Non-surgical options may be considered in certain cases:
- Closed reduction and immobilization with a cast.
- Physical therapy for minor fractures.
- Pain management with medications.
Home Care Tips
Patients can follow these tips for better recovery at home:
- Keep the wrist elevated to reduce swelling.
- Apply ice packs to the area as needed.
- Follow the doctor's instructions for wound care.
Patient Education & Prevention
Educating patients on prevention can reduce recurrence:
- Engage in strength training to improve bone health.
- Use protective gear during sports activities.
- Avoid high-risk activities if prone to falls.
Billing and Coding Information
CPT Code: 25440
Category: Surgery
Common Modifiers:
- 50 (bilateral procedure)
- RT (right side)
- LT (left side)
Average Cost and Insurance Coverage
Costs can vary based on several factors:
- Average cost ranges from $5,000 to $15,000.
- Insurance may cover a significant portion of the procedure.
- Out-of-pocket costs depend on the specific insurance plan.
Related CPT Codes
Frequently Asked Questions (FAQs)
What is a distal radius fracture?
It is a break in the radius bone near the wrist.
How long is the recovery time?
Recovery typically takes 6 to 12 weeks.
Will I need physical therapy?
Yes, physical therapy is often recommended to regain strength.
