Overview of CPT Code 25650:Closed treatment of distal radius fracture
CPT Code 25650 refers to the closed treatment of a distal radius fracture, which is a common injury often resulting from falls or trauma. This procedure involves realigning the fractured bone without surgical intervention.
When CPT Code 25650 is Used?
This code is applicable in various clinical scenarios, including:
- Acute distal radius fracture diagnosed via physical examination and imaging.
- 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.
- Limited range of motion in the affected arm.
- Deformity or abnormal positioning of the wrist.
Causes and Risk Factors
Understanding the causes and risk factors can help in prevention.
- Falls, especially in older adults.
- Sports injuries, particularly in contact sports.
- Osteoporosis, which weakens bones and increases fracture risk.
Diagnostic Tests Before Procedure
To confirm the diagnosis and plan treatment, the following tests may be performed:
- X-rays 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 of any allergies or medications being taken.
- Avoid eating or drinking for a few hours prior if sedation is planned.
- Arrange for transportation home after the procedure.
Recovery and Aftercare
Post-procedure recovery typically includes:
- Wearing a splint or cast for several weeks as directed.
- Managing pain with prescribed medications.
- Regular follow-up appointments to monitor healing.
Possible Complications
While complications are rare, they can include:
- Improper healing or malunion of the fracture.
- Infection at the site of treatment.
- Nerve or blood vessel damage.
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Post-Procedure Follow-Up
Follow-up care is crucial for recovery:
- Initial follow-up within 1-2 weeks to assess healing.
- Subsequent visits every 4-6 weeks until the fracture is healed.
- Physical therapy may be recommended to restore function.
Alternative Treatments
In some cases, non-surgical options may be considered:
- Immobilization with a splint or brace for minor fractures.
- Physical therapy to strengthen the wrist post-injury.
- Pain management with over-the-counter medications.
Home Care Tips
Patients can follow these tips for better recovery:
- Keep the wrist elevated to reduce swelling.
- Apply ice packs to the area for 15-20 minutes at a time.
- Follow the physician's instructions regarding activity restrictions.
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, especially in older adults.
Billing and Coding Information
CPT Code: 25650
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?
A distal radius fracture is a break in the radius bone near the wrist.
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 regain strength and mobility.
