Overview of CPT Code 25445: Repair of ruptured tendon, forearm
CPT Code 25445 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 25445 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 report several symptoms that suggest the need for this procedure.
- Severe pain in the forearm.
- Inability to move the wrist or fingers.
- Swelling and bruising around the injury site.
- A popping or snapping sound at the time of injury.
Causes and Risk Factors
Understanding the causes and risk factors can help in prevention.
- Sports injuries, particularly in contact sports.
- Accidents involving falls or heavy lifting.
- Chronic overuse injuries from repetitive motions.
Diagnostic Tests Before Procedure
Several diagnostic tests may be performed to confirm the need for surgery.
- Physical examination to assess range of motion and pain.
- 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 clean the ruptured tendon ends.
- Suture the tendon ends together using strong sutures.
- 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 after the procedure.
Recovery and Aftercare
Post-operative care is essential for healing.
- Expected recovery period is 4 to 6 months.
- 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 and 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.
- Long-term follow-up may be necessary for functional assessment.
Alternative Treatments
Non-surgical options may be considered in some 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 steps at home to aid recovery.
- Keep the arm elevated to reduce swelling.
- Apply ice packs to the surgical site as needed.
- 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.
- Avoid overexertion and take breaks during repetitive tasks.
Billing and Coding Information
CPT Code: 25445
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 $5,000 to $15,000.
- Most insurance plans cover the procedure if deemed medically necessary.
- Out-of-pocket costs depend on the insurance plan and deductible.
Related CPT Codes
Frequently Asked Questions (FAQs)
What is a tendon rupture?
A tendon rupture occurs when a tendon is torn, leading to loss of function.
How long is the recovery period?
Recovery typically takes 4 to 6 months, depending on the severity.
Will I need physical therapy?
Yes, physical therapy is often recommended to regain strength and mobility.
