Overview of CPT Code 25492: Repair of ruptured tendon, forearm
CPT Code 25492 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 25492 is Used?
This code is applicable in various clinical scenarios, including:
- Acute rupture of the flexor or extensor tendons in the forearm due to trauma.
- Chronic tendon injuries that have not healed properly.
- Tendon ruptures resulting from sports injuries or accidents.
Symptoms Indicating This Procedure
Patients may present with the following symptoms:
- Severe pain in the forearm at the site of the rupture.
- Swelling and bruising around the affected area.
- Inability to move the wrist or fingers normally.
- A noticeable gap or defect in the tendon area.
Causes and Risk Factors
Understanding the causes and risk factors can help in prevention and early intervention.
- Traumatic injuries from falls or accidents.
- Overuse injuries from repetitive motions in sports or work.
- Underlying conditions such as rheumatoid arthritis or 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 and surrounding structures.
- MRI scans to evaluate the extent of the injury.
Procedure Description
The surgical procedure typically involves the following steps:
- Administer anesthesia to ensure patient comfort.
- Make an incision over the site of the tendon rupture.
- Carefully expose the ruptured tendon and remove any damaged tissue.
- Suture the tendon ends together using strong, durable stitches.
- Close the incision with sutures or staples and apply a sterile dressing.
Preparation for the Procedure
Patients should follow these steps to prepare for surgery:
- Avoid eating or drinking for at least 8 hours before the procedure.
- Discuss any medications with the surgeon, especially blood thinners.
- Arrange for transportation to and from the surgical facility.
Recovery and Aftercare
Post-operative recovery typically includes:
- Resting the arm and avoiding strenuous activities for several weeks.
- Keeping the surgical site clean and dry to prevent infection.
- Following up with the surgeon for suture removal and progress checks.
- Physical therapy to regain strength and mobility.
Possible Complications
While complications are rare, they can occur and may include:
- Infection at the surgical site.
- Nerve damage leading to numbness or weakness.
- Re-rupture of the tendon if not properly rehabilitated.
- Scarring or stiffness in the forearm.
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Post-Procedure Follow-Up
Follow-up care is crucial for optimal recovery:
- Initial follow-up appointment within 1-2 weeks post-surgery.
- Regular check-ups every few weeks to monitor healing.
- Assessment of physical therapy progress and adjustments as needed.
Alternative Treatments
In some cases, non-surgical options may be considered:
- Physical therapy to strengthen the forearm and improve function.
- Bracing or splinting to immobilize the area and promote healing.
- Corticosteroid injections to reduce inflammation and pain.
Home Care Tips
Patients can follow these tips for better recovery at home:
- Keep the arm elevated to reduce swelling.
- Apply ice packs to the surgical site to alleviate pain.
- Adhere to prescribed medications for pain management.
Patient Education & Prevention
Educating patients on prevention can help avoid future injuries:
- Engage in proper warm-up and stretching before physical activities.
- Use protective gear during sports to minimize injury risk.
- Strengthen forearm muscles through targeted exercises.
Billing and Coding Information
CPT Code: 25492
Category: Surgical Procedures
Common Modifiers:
- 50 - Bilateral procedure
- RT - Right side
- LT - Left side
Average Cost and Insurance Coverage
Costs can vary based on several factors:
- Average surgical costs range from $3,000 to $10,000.
- Insurance may cover a significant portion, depending on the plan.
- Out-of-pocket expenses can include deductibles and co-pays.
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, often causing pain and loss of function.
How long does recovery take?
Recovery can take several weeks to months, depending on the severity of the injury and adherence to rehabilitation.
Will I need physical therapy?
Yes, physical therapy is often recommended to restore strength and mobility after surgery.
What are the signs of infection?
Signs of infection include increased redness, swelling, warmth, and discharge from the surgical site.
