Overview of CPT Code 25449: Repair of ruptured tendon, forearm
CPT Code 25449 refers to the surgical repair of a ruptured tendon in the forearm, which is essential for restoring function and mobility.
When CPT Code 25449 is Used?
This procedure is indicated in specific clinical scenarios.
- Complete rupture of the flexor or extensor tendons in the forearm.
- Tendon injuries resulting from trauma or accidents.
- Chronic tendon injuries that have not healed properly.
Symptoms Indicating This Procedure
Patients may report various 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 noticeable gap or defect in the tendon.
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 conditions like rheumatoid arthritis that weaken tendons.
Diagnostic Tests Before Procedure
Several diagnostic tests may be performed to confirm the need for surgery.
- MRI to visualize the extent of the tendon damage.
- Ultrasound to assess tendon integrity.
- X-rays to rule out associated bone injuries.
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 ruptured tendon.
- Suture the tendon ends together securely.
- Close the incision with sutures or staples.
Preparation for the Procedure
Patients should follow specific guidelines before surgery.
- Avoid eating or drinking for at least 8 hours prior to surgery.
- Discuss any medications with the surgeon, especially blood thinners.
- Arrange for transportation to and from the surgical facility.
Recovery and Aftercare
Post-operative care is crucial for a successful recovery.
- 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 or stiffness in the forearm.
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Post-Procedure Follow-Up
Regular follow-up is essential 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 rehabilitation.
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 area as needed.
- Avoid heavy lifting or strenuous activities until cleared by the doctor.
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 support tendon health.
Billing and Coding Information
CPT Code: 25449
Category: Surgery
Common Modifiers:
- -50
- -59
- -76
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.
- Out-of-pocket costs depend on the patient's insurance plan.
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 typically takes 4 to 6 months, depending on the severity of the injury.
Will I need physical therapy?
Yes, physical therapy is often recommended to regain strength and mobility.
