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Overview of CPT Code 25606:Closed treatment of distal radius fracture

Overview of CPT Code 25606:Closed treatment of distal radius fracture

CPT Code 25606 refers to the closed treatment of a distal radius fracture, which is a common injury involving the wrist. This procedure is performed without surgical incisions and aims to realign the fractured bone to promote healing.

When CPT Code 25606 is Used?

This code is applicable in various clinical scenarios, including:

  • Acute distal radius fracture due to trauma or fall.
  • Fractures that are non-displaced or minimally displaced.
  • Patients who are not candidates for surgical intervention.

Symptoms Indicating This Procedure

Patients may present with the following symptoms:

  • Severe pain in the wrist area.
  • Swelling and bruising around the wrist.
  • Limited range of motion in the affected wrist.
  • Deformity or abnormal positioning of the wrist.

Causes and Risk Factors

Understanding the causes and risk factors can help in prevention and management.

  • Falls, especially in older adults.
  • Sports injuries, particularly in contact sports.
  • Osteoporosis, which weakens bones and increases fracture risk.

Diagnostic Tests Before Procedure

To confirm the diagnosis and plan treatment, the following tests may be performed:

  • X-rays to visualize the fracture and assess alignment.
  • CT scans for complex fractures or to evaluate joint involvement.

Procedure Description

The closed treatment procedure involves several key steps:

  • Patient is positioned comfortably, and the affected wrist is exposed.
  • Local anesthesia may be administered to minimize discomfort.
  • The physician gently manipulates the wrist to realign the fractured bone.
  • Once aligned, a cast or splint is applied to immobilize the wrist.
  • Post-procedure instructions are provided to the patient.

Preparation for the Procedure

Patients should follow these steps to prepare for the procedure:

  • Inform the physician of any allergies or medications being taken.
  • Avoid eating or drinking for a few hours before the procedure if sedation is planned.
  • Arrange for transportation home after the procedure.

Recovery and Aftercare

Post-procedure recovery typically involves:

  • Wearing a cast or splint for several weeks as directed.
  • Managing pain with prescribed medications.
  • Attending follow-up appointments to monitor healing.

Possible Complications

While complications are rare, they can occur and may include:

  • Improper healing or malunion of the fracture.
  • Infection at the site of injury.
  • Nerve or blood vessel damage.
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Post-Procedure Follow-Up

Follow-up care is essential for optimal recovery:

  • Initial follow-up within 1-2 weeks to assess healing.
  • Subsequent visits every 4-6 weeks until the fracture is healed.
  • Regular X-rays may be needed to monitor progress.

Alternative Treatments

In some cases, alternative treatments may be considered:

  • Physical therapy to improve strength and mobility post-injury.
  • Bracing instead of casting for certain types of fractures.
  • Observation for non-displaced fractures without significant symptoms.

Home Care Tips

Patients can follow these tips for effective home care:

  • Keep the wrist elevated to reduce swelling.
  • Apply ice packs to the area for 15-20 minutes at a time.
  • Follow medication instructions carefully and report any side effects.

Patient Education & Prevention

Educating patients on prevention can reduce future risks:

  • Engage in weight-bearing exercises to strengthen bones.
  • Ensure home safety to prevent falls.
  • Consider bone density testing if at risk for osteoporosis.

Billing and Coding Information

CPT Code: 25606

Category: Surgical Procedures

Common Modifiers:

  • -50
  • -RT
  • -LT

Average Cost and Insurance Coverage

Costs can vary based on location and insurance:

  • Average cost ranges from $1,500 to $3,000.
  • Most insurance plans cover the procedure, but verification is recommended.

Frequently Asked Questions (FAQs)

What is a distal radius fracture?

It is a break in the radius bone near the wrist, often caused by falls.

How long does recovery take?

Recovery typically takes 6-8 weeks, depending on the severity of the fracture.

Will I need physical therapy?

Physical therapy may be recommended to restore strength and mobility.

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