Overview of CPT Code 25626: Closed treatment of distal radius fracture with manipulation
CPT Code 25626 refers to the closed treatment of a distal radius fracture, which involves realigning the fractured bone without surgical incision. This procedure is typically performed when the fracture is stable and can be managed without open surgery.
When CPT Code 25626 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.
- Inability to move the wrist or fingers.
- Deformity or abnormal positioning of the wrist.
Causes and Risk Factors
Several factors can contribute to distal radius fractures:
- Falls, especially in older adults.
- Sports injuries.
- Osteoporosis or weakened bones.
- High-impact trauma from accidents.
Diagnostic Tests Before Procedure
To confirm the diagnosis and assess the fracture, the following tests may be performed:
- X-rays of the wrist 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 about any allergies or medications.
- Avoid eating or drinking for a few hours prior if sedation is planned.
- Wear loose-fitting clothing for comfort during the procedure.
Recovery and Aftercare
Post-procedure recovery typically includes:
- Resting the wrist and avoiding strenuous activities.
- Keeping the cast or splint dry and clean.
- Taking prescribed pain medications as needed.
- Attending follow-up appointments for monitoring.
Possible Complications
While generally safe, potential complications 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 essential for recovery:
- Initial follow-up within 1-2 weeks to check alignment.
- Regular visits every 4-6 weeks to monitor healing.
- Physical therapy may be recommended after cast removal.
Alternative Treatments
In some cases, alternative management options may include:
- Immobilization with a splint without manipulation.
- Physical therapy for minor fractures.
- Observation for non-displaced fractures.
Home Care Tips
Patients can follow these tips for better recovery:
- Elevate the wrist to reduce swelling.
- Apply ice packs to alleviate pain.
- Follow medication instructions carefully.
- Engage in gentle range-of-motion exercises as advised.
Patient Education & Prevention
To prevent future fractures, consider these points:
- Maintain bone health through diet and exercise.
- Use protective gear during sports.
- Take precautions to prevent falls at home.
Billing and Coding Information
CPT Code: 25626
Category: Surgery
Common Modifiers:
- 50 - Bilateral procedure
- RT - Right side
- LT - Left side
Average Cost and Insurance Coverage
The cost for this procedure can vary:
- 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.
Will I need physical therapy?
Physical therapy may be recommended after cast removal to regain strength.
Can I drive after the procedure?
You should avoid driving until cleared by your physician.
