Overview of CPT Code 25652: Closed treatment of distal radius fracture
CPT Code 25652 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 fragments.
When CPT Code 25652 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 report the following symptoms:
- Severe pain in the wrist area.
- Swelling and bruising around the fracture site.
- 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.
- Falls, particularly in older adults.
- Sports injuries, especially in contact sports.
- Osteoporosis, which weakens bones and increases fracture risk.
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 determine its type.
- CT scans in complex cases to assess the fracture in detail.
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 imaging may be performed to confirm proper alignment.
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 specified period if sedation is planned.
- Arrange for transportation home after 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 specific care instructions.
- Pain management may include over-the-counter pain relievers.
- Follow-up appointments are necessary to monitor healing.
Possible Complications
While complications are rare, they can occur:
- Improper healing or malunion of the fracture.
- Infection at the site of manipulation.
- Nerve or blood vessel damage during the procedure.
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Post-Procedure Follow-Up
Regular follow-up is essential for monitoring recovery:
- Initial follow-up within 1-2 weeks to check alignment and cast fit.
- Subsequent visits every 4-6 weeks to assess healing progress.
- Final evaluation after cast removal to ensure full recovery.
Alternative Treatments
In some cases, non-surgical options may be considered:
- Physical therapy to strengthen the wrist post-injury.
- Bracing instead of casting for certain types of fractures.
- Pain management strategies without surgical intervention.
Home Care Tips
Patients can follow these tips for better recovery:
- Elevate the wrist to reduce swelling.
- Apply ice packs to the area for pain relief.
- Avoid activities that may stress the wrist during recovery.
Patient Education & Prevention
Educating patients on prevention is vital:
- Engage in strength training and balance exercises to prevent falls.
- Ensure home safety by removing tripping hazards.
- Consider bone density testing for those at risk of osteoporosis.
Billing and Coding Information
CPT Code: 25652
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 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 of the fracture.
Will I need physical therapy?
Physical therapy may be recommended to restore strength and mobility.
Can I drive with a cast?
It is generally advised not to drive until the cast is removed and cleared by a doctor.
