Overview of CPT Code 25622: Closed treatment of distal radius fracture with manipulation
CPT Code 25622 refers to the closed treatment of a distal radius fracture, which involves realigning the fractured bone without surgical exposure. This procedure is typically performed when the fracture is stable enough to be treated without an open surgical approach.
When CPT Code 25622 is Used?
This code is applicable in various clinical scenarios, including:
- Acute distal radius fractures in adults and children.
- Fractures that are not displaced or minimally displaced.
- Fractures that can be effectively managed without 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.
- Decreased range of motion in the wrist.
- Visible 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.
- High-impact accidents, such as car crashes.
Diagnostic Tests Before Procedure
Before performing the procedure, the following diagnostic tests may be conducted:
- X-rays to confirm the fracture and assess its alignment.
- CT scans in complex cases to evaluate the fracture in detail.
- Physical examination to assess pain and function.
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 about any allergies or medications.
- 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.
- Engaging in physical therapy as recommended to restore function.
Possible Complications
While complications are rare, they can occur and may include:
- 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
Follow-up care is crucial for successful recovery:
- Initial follow-up appointment within 1-2 weeks post-procedure.
- Regular check-ups every 4-6 weeks to assess healing.
- Additional imaging may be required to ensure proper alignment.
Alternative Treatments
In some cases, alternative treatments may be considered:
- Observation for non-displaced fractures.
- Physical therapy for rehabilitation.
- Bracing instead of casting for certain fractures.
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 to manage pain.
- Follow medication instructions carefully.
- Avoid putting weight on the wrist until cleared by a physician.
Patient Education & Prevention
Educating patients on prevention can reduce recurrence:
- Engage in weight-bearing exercises to strengthen bones.
- Use protective gear during sports activities.
- Maintain a healthy diet rich in calcium and vitamin D.
- Take precautions to prevent falls, especially in older adults.
Billing and Coding Information
CPT Code: 25622
Category: Surgery
Common Modifiers:
- 50 - Bilateral procedure
- RT - Right side
- LT - Left side
Average Cost and Insurance Coverage
The cost of the procedure can vary widely:
- Average cost ranges from $1,500 to $3,000.
- Insurance typically covers the procedure if deemed medically necessary.
- Out-of-pocket costs depend on the patient's insurance plan.
Related CPT Codes
Frequently Asked Questions (FAQs)
What is a distal radius fracture?
A distal radius fracture is a break in the radius bone 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 restore strength and mobility.
What should I do if I experience increased pain?
Contact your physician if you experience increased pain or swelling.
