Overview of CPT Code 25660: Closed treatment of distal radius fracture
CPT Code 25660 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 25660 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 and management.
- Falls, particularly in older adults.
- Sports injuries, especially in contact sports.
- Osteoporosis, which weakens bones and increases fracture risk.
- High-impact accidents, such as car crashes.
Diagnostic Tests Before Procedure
To confirm the diagnosis and plan treatment, the following tests may be performed:
- X-rays to visualize the fracture and assess displacement.
- CT scans for detailed imaging if the fracture is complex.
- Physical examination to evaluate pain and function.
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 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.
- 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 or splint dry and clean.
- Follow up with the physician for regular check-ups.
- Pain management with prescribed medications as needed.
Possible Complications
While complications are rare, they can occur:
- Improper healing or malunion of the fracture.
- Infection at the site of treatment.
- 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.
- Physical therapy may be recommended to regain strength and mobility.
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 and improve function.
- Pain management with over-the-counter medications.
Home Care Tips
Patients can follow these tips for effective home care:
- Keep the wrist elevated to reduce swelling.
- Apply ice packs to the area for 15-20 minutes at a time.
- Avoid activities that may stress the wrist during recovery.
Patient Education & Prevention
Educating patients on prevention can reduce recurrence:
- Engage in strength training and balance exercises to prevent falls.
- Ensure home safety by removing tripping hazards.
- Consider bone density testing if at risk for osteoporosis.
Billing and Coding Information
CPT Code: 25660
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 $1,000 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?
A distal radius fracture is a break in the radius bone near the wrist, often caused by falls.
How long does recovery take?
Recovery typically takes 6 to 8 weeks, depending on the severity of the fracture.
Will I need physical therapy?
Physical therapy may be recommended to restore strength and mobility after healing.
What should I do if I experience increased pain?
Contact your healthcare provider if you experience increased pain or swelling.
