Overview of CPT Code 25624: Closed treatment of distal radius fracture with manipulation
CPT Code 25624 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 and can be managed without open surgery.
When CPT Code 25624 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 treated 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.
- Limited range of motion in the 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 or direct trauma to the wrist.
- Osteoporosis or weakened bones.
- High-impact sports or activities.
- Age-related bone density loss.
Diagnostic Tests Before Procedure
Before proceeding with treatment, the following diagnostic tests may be conducted:
- X-rays to confirm the fracture and assess displacement.
- 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 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 preparation steps:
- Inform the physician of 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 includes:
- Wearing a cast or splint for several weeks.
- Regular follow-up appointments to monitor healing.
- Pain management with prescribed medications.
- Physical therapy may be 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 recovery:
- Initial follow-up within 1-2 weeks to check alignment.
- Subsequent visits every 4-6 weeks to monitor healing.
- X-rays may be repeated to assess bone healing.
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 injuries.
Home Care Tips
Patients can follow these tips for better recovery:
- Keep the wrist elevated to reduce swelling.
- Apply ice packs to the area as needed.
- Follow medication instructions for pain relief.
- Avoid using the affected wrist until cleared by a physician.
Patient Education & Prevention
Educating patients on prevention is key:
- Engage in weight-bearing exercises to strengthen bones.
- Use protective gear during sports activities.
- Maintain a healthy diet rich in calcium and vitamin D.
- Consider fall prevention strategies at home.
Billing and Coding Information
CPT Code: 25624
Category: Surgical Procedures
Common Modifiers:
- 50 - Bilateral procedure
- RT - Right side
- LT - Left side
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.
- Out-of-pocket costs depend on the deductible and copay.
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.
Will I need physical therapy?
Physical therapy may be recommended to regain strength and motion.
Can I drive after the procedure?
You should avoid driving until cleared by your physician.
