Overview of CPT Code 25628: Closed treatment of distal radius fracture
CPT Code 25628 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 25628 is Used?
This code is applicable in various clinical scenarios, including:
- Acute distal radius fractures in adults and children.
- Fractures that are non-displaced or minimally displaced.
- Patients who are not candidates for surgical intervention due to health concerns.
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 hand.
- Deformity or abnormal positioning of the wrist.
Causes and Risk Factors
Understanding the causes and risk factors can help in prevention.
- Falls onto an outstretched hand.
- Sports injuries, particularly in contact sports.
- Osteoporosis, which weakens bones and increases fracture risk.
- Age-related factors, as older adults are more prone to fractures.
Diagnostic Tests Before Procedure
To confirm the diagnosis and assess the fracture, the following tests may be performed:
- X-rays to visualize the fracture and its alignment.
- CT scans for detailed imaging if the fracture is complex.
- Physical examination to assess range of motion and pain.
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 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 care is crucial for recovery:
- Rest the wrist and avoid using it for several weeks.
- Keep the cast dry and clean; follow care instructions.
- Take prescribed pain medications as needed.
- Attend follow-up appointments for monitoring healing.
Possible Complications
While complications are rare, they can occur:
- Improper healing or malunion of the fracture.
- Infection at the site of injury.
- 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 optimal recovery:
- Initial follow-up within 1-2 weeks to check alignment.
- Subsequent visits every 4-6 weeks to monitor healing.
- Physical therapy may be recommended after cast removal.
Alternative Treatments
In some cases, non-surgical options may be considered:
- Immobilization with a splint for minor fractures.
- Physical therapy to strengthen the wrist post-injury.
- Pain management with medications and ice therapy.
Home Care Tips
Patients can follow these tips for better recovery:
- Elevate the wrist to reduce swelling.
- Apply ice packs for 15-20 minutes to alleviate pain.
- Follow a balanced diet to support bone healing.
Patient Education & Prevention
Educating patients on prevention is key:
- Engage in weight-bearing exercises to strengthen bones.
- Use protective gear during sports activities.
- Ensure home safety to prevent falls.
Billing and Coding Information
CPT Code: 25628
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, but verification is recommended.
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 6-8 weeks, depending on the severity.
Will I need physical therapy?
Physical therapy may be recommended after cast removal to regain strength.
