Overview of CPT Code 25500: Open treatment of distal radius fracture
CPT Code 25500 refers to the open treatment of a fracture of 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 25500 is Used?
This procedure is indicated in specific clinical scenarios.
- Displaced distal radius fracture requiring surgical intervention.
- Fractures that cannot be adequately treated with closed reduction.
- Fractures associated with significant soft tissue injury.
- Fractures in patients with underlying conditions that impair healing.
Symptoms Indicating This Procedure
Patients may present with various symptoms that suggest the need for surgical treatment.
- Severe pain in the wrist area.
- 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.
- Trauma from falls, especially in older adults.
- Sports injuries, particularly in contact sports.
- Osteoporosis, which weakens bones and increases fracture risk.
- Previous wrist injuries that may predispose to future fractures.
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 procedure 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 or staples.
Preparation for the Procedure
Patients should follow specific guidelines to prepare for surgery.
- Avoid eating or drinking after midnight before the surgery.
- Discuss any medications with the healthcare provider.
- Arrange for transportation to and from the hospital.
- Wear loose-fitting clothing on the day of the procedure.
Recovery and Aftercare
Post-operative care is crucial for recovery.
- Expected recovery period is typically 6 to 8 weeks.
- Keep the surgical site clean and dry.
- Follow prescribed pain management and anti-inflammatory medications.
- Attend follow-up appointments for monitoring healing.
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.
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Post-Procedure Follow-Up
Regular follow-up is essential for optimal recovery.
- Initial follow-up within 1 to 2 weeks post-surgery.
- Subsequent visits every 4 to 6 weeks to monitor healing.
- Physical therapy may be recommended to regain strength and mobility.
Alternative Treatments
Non-surgical options may be considered in certain cases.
- Closed reduction and immobilization with a cast.
- Physical therapy for minor fractures.
- Pain management with medications.
Home Care Tips
Patients can take steps to aid their recovery at home.
- Keep the wrist elevated to reduce swelling.
- Apply ice packs to the area as needed.
- Follow a balanced diet to support healing.
- Engage in gentle exercises as advised by the doctor.
Patient Education & Prevention
Education is key to preventing future injuries.
- Use protective gear during sports activities.
- Maintain bone health through diet and exercise.
- Be cautious in environments with fall risks.
Billing and Coding Information
CPT Code: 25500
Category: Surgery
Common Modifiers:
- -50
- -RT
- -LT
Average Cost and Insurance Coverage
Costs can vary based on several factors.
- Average cost ranges from $5,000 to $15,000.
- Insurance may cover 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.
