Overview of CPT Code 25491: Repair of ruptured tendon, forearm
CPT Code 25491 refers to the surgical repair of a ruptured tendon in the forearm. This procedure is essential for restoring function and strength to the affected arm, particularly after an injury that compromises the tendon.
When CPT Code 25491 is Used?
This code is applicable in various clinical scenarios.
- Complete rupture of the flexor or extensor tendon in the forearm.
- Tendon injuries resulting from trauma or accidents.
- Tendon ruptures associated with sports injuries.
Symptoms Indicating This Procedure
Patients may present with several symptoms that indicate 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.
- Acute injuries from falls or direct trauma.
- Chronic overuse injuries in athletes.
- Certain medical conditions like diabetes that weaken tendons.
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 the tendon.
- 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.
- Carefully expose the ruptured tendon.
- 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 post-surgery.
Recovery and Aftercare
Post-operative care is vital 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.
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.
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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.
- Physical therapy may be recommended to regain strength.
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 steps at home to aid recovery.
- Apply ice to reduce swelling in the first few days.
- 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 support tendon health.
Billing and Coding Information
CPT Code: 25491
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.
- Insurance typically covers the procedure if deemed medically necessary.
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 can take several weeks to months, depending on the severity.
Will I need physical therapy?
Yes, physical therapy is often recommended to regain strength and mobility.
