Overview of CPT Code 25640:Closed treatment of distal radius fracture
CPT Code 25640 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.
When CPT Code 25640 is Used?
This code is applicable in various clinical scenarios, including:
- Acute distal radius fracture due to trauma or fall.
- 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 fingers.
- 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.
- Previous wrist injuries that may predispose 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 to prepare for the procedure:
- Inform the physician of any allergies or medications being taken.
- Avoid eating or drinking for a few hours before the procedure if sedation is planned.
- Wear loose-fitting clothing to allow easy access to the wrist.
Recovery and Aftercare
Post-procedure care is crucial for recovery:
- Keep the cast or splint dry and intact.
- Follow up with the physician for regular check-ups.
- Manage pain with prescribed medications as needed.
- 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 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 monitoring recovery:
- Initial follow-up within 1-2 weeks to assess healing.
- Subsequent visits every 4-6 weeks until the fracture is healed.
- Additional imaging may be required to confirm proper healing.
Alternative Treatments
In some cases, non-surgical options may be considered:
- Physical therapy to improve strength and mobility.
- Bracing instead of casting for certain types of fractures.
- Pain management strategies including ice and elevation.
Home Care Tips
Patients can follow these tips for effective home care:
- Elevate the wrist to reduce swelling.
- Apply ice packs for 15-20 minutes to alleviate pain.
- Avoid using the injured 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.
- Ensure home safety to prevent falls, especially in older adults.
Billing and Coding Information
CPT Code: 25640
Category: Surgery
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 co-pays may apply.
- Check with your insurance provider for specific coverage details.
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 of the fracture.
Will I need physical therapy?
Physical therapy may be recommended to restore strength and mobility.
Can I drive after the procedure?
You should avoid driving until cleared by your physician.
