Overview of CPT Code 25450: Open treatment of distal radius fracture
CPT Code 25450 refers to the surgical procedure for the open treatment of a fracture in the distal radius, which is the larger of the two bones in the forearm. This procedure is typically performed when a fracture is displaced or unstable, requiring surgical intervention to realign and stabilize the bone.
When CPT Code 25450 is Used?
This procedure is indicated in several clinical scenarios.
- Displaced distal radius fracture requiring surgical intervention.
- Fractures that cannot be adequately aligned through closed reduction.
- Fractures associated with significant soft tissue injury.
- Fractures in patients with underlying conditions that may complicate healing.
Symptoms Indicating This Procedure
Patients may present with various symptoms that suggest the need for this surgical procedure.
- Severe pain in the wrist or forearm.
- Swelling and bruising around the fracture site.
- Deformity or abnormal positioning of the wrist.
- Inability to move the wrist or fingers.
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.
- High-impact accidents, such as motor vehicle collisions.
Diagnostic Tests Before Procedure
Several diagnostic tests are performed to confirm the need for surgery.
- X-rays to visualize the fracture and assess displacement.
- CT scans for detailed imaging of complex fractures.
- MRI if soft tissue injury is suspected.
Procedure Description
The open treatment of a distal radius fracture involves several key steps.
- Administer anesthesia to ensure patient comfort.
- Make an incision over the fracture site to access the bone.
- Realign the fractured bone fragments into their proper position.
- Stabilize the fracture using plates, screws, or pins.
- Close the incision with sutures and apply a dressing.
Preparation for the Procedure
Proper preparation is essential for a successful outcome.
- Avoid eating or drinking for at least 8 hours before surgery.
- Discuss medications with your doctor, especially blood thinners.
- Arrange for transportation home after the procedure.
- Wear loose-fitting clothing for comfort post-surgery.
Recovery and Aftercare
Post-operative care is crucial for healing.
- Expected recovery period is typically 6 to 8 weeks.
- Keep the wrist elevated to reduce swelling.
- Follow wound care instructions to prevent infection.
- Take prescribed pain medications as needed.
Possible Complications
While complications are rare, they can occur.
- Infection at the surgical site.
- Nerve or blood vessel damage.
- Nonunion or malunion of the fracture.
- Stiffness or loss of motion in the wrist.
Secure, compliant, and built for trust
HIPAA-compliant and designed with privacy in mind, your patient’s data is protected. Focus on care while we safeguard your information.
Learn more
Post-Procedure Follow-Up
Regular follow-up is important to monitor healing.
- Initial follow-up within 1 to 2 weeks post-surgery.
- Subsequent visits every 4 to 6 weeks to assess healing.
- Physical therapy may be recommended to regain strength and mobility.
Alternative Treatments
In some cases, non-surgical options may be considered.
- Closed reduction and immobilization with a cast.
- Physical therapy for minor fractures.
- Pain management with medications.
Home Care Tips
Patients can take several steps to aid recovery at home.
- Keep the wrist elevated to minimize swelling.
- Apply ice packs to reduce pain and swelling.
- Follow a balanced diet to support healing.
- Engage in gentle exercises as advised by your doctor.
Patient Education & Prevention
Education on prevention can help reduce the risk of future fractures.
- Engage in weight-bearing exercises to strengthen bones.
- Ensure adequate calcium and vitamin D intake.
- Use protective gear during sports and activities.
- Fall-proof your home by removing hazards.
Billing and Coding Information
CPT Code: 25450
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 typically covers 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?
A distal radius fracture is a break in the larger bone of the forearm near the wrist.
How long does recovery take?
Recovery typically takes 6 to 8 weeks, depending on the severity of the fracture.
Will I need physical therapy?
Physical therapy may be recommended to help regain strength and mobility after surgery.
What are the signs of infection?
Signs of infection include increased redness, swelling, warmth, and discharge from the incision site.
