Overview of CPT Code 25620:Closed Treatment of Distal Radius Fracture
CPT Code 25620 refers to the closed treatment of a distal radius fracture, which is a common injury involving a break in the radius bone near the wrist. This procedure is typically performed without surgical intervention, utilizing manual manipulation to realign the bone fragments.
When CPT Code 25620 is Used?
This code is applicable in various clinical scenarios, including:
- Acute distal radius fracture due to a fall or trauma.
- Fractures that are non-displaced or minimally displaced.
- Patients who are not surgical candidates due to health conditions.
- Fractures in children where growth plates are not affected.
Symptoms Indicating This Procedure
Patients may present with the following symptoms:
- Severe pain in the wrist area.
- Swelling and bruising around the wrist.
- Inability to move the wrist or fingers.
- Deformity or abnormal positioning of the wrist.
Causes and Risk Factors
Understanding the causes and risk factors can help in prevention.
- Falls, especially in older adults.
- Sports injuries, particularly in contact sports.
- Osteoporosis, which weakens bones.
- Previous wrist injuries that may predispose to fractures.
Diagnostic Tests Before Procedure
To confirm the diagnosis and plan treatment, the following tests may be performed:
- X-rays to visualize the fracture.
- CT scans for complex fractures.
- MRI if soft tissue injury is suspected.
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 splint or cast is applied to immobilize the wrist.
- Post-procedure instructions are provided to the patient.
Preparation for the Procedure
Patients should follow these steps before the procedure:
- Inform the physician of any allergies or medications.
- Avoid eating or drinking for a few hours if sedation is planned.
- Wear loose-fitting clothing for comfort during the procedure.
- Arrange for transportation home post-procedure.
Recovery and Aftercare
Post-procedure care is crucial for recovery:
- Keep the wrist elevated to reduce swelling.
- Follow up with the physician for cast checks and adjustments.
- Use pain relief medications as prescribed.
- Engage in gentle range-of-motion exercises as advised.
Possible Complications
While complications are rare, they can occur:
- Improper healing or malunion of the fracture.
- Infection at the site of manipulation.
- Nerve or blood vessel damage.
- Stiffness or loss of motion in the wrist.
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Post-Procedure Follow-Up
Regular follow-up is essential for monitoring recovery:
- Initial follow-up within 1-2 weeks to check alignment.
- Subsequent visits every 4-6 weeks until healing is confirmed.
- Additional imaging may be required to assess healing progress.
Alternative Treatments
In some cases, non-surgical options may be considered:
- Physical therapy to strengthen the wrist.
- Bracing for support without manipulation.
- Pain management strategies including medications.
Home Care Tips
Patients can follow these tips for better recovery:
- Apply ice packs to reduce swelling.
- Avoid using the affected wrist until cleared by a physician.
- Maintain a healthy diet to support bone healing.
- Stay hydrated and rest adequately.
Patient Education & Prevention
Educating patients on prevention is vital:
- Engage in strength training to improve bone density.
- Use protective gear during sports activities.
- Ensure home safety to prevent falls.
- Regular check-ups for osteoporosis screening.
Billing and Coding Information
CPT Code: 25620
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 with prior authorization.
- Out-of-pocket costs depend on the deductible and co-pay.
Related CPT Codes
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 to 8 weeks, depending on the severity.
Will I need physical therapy?
Physical therapy may be recommended to regain strength and mobility.
Can I drive after the procedure?
You should avoid driving until cleared by your physician.
