Overview of CPT Code 25675: Closed treatment of distal radius fracture with manipulation
CPT Code 25675 refers to the closed treatment of a distal radius fracture, which involves realigning the fractured bone without surgical incision. This procedure is typically performed when the fracture is stable and can be managed without open surgery.
When CPT Code 25675 is Used?
This code is applicable in various clinical scenarios, including:
- Acute distal radius fractures in adults and children.
- Fractures that are not displaced or minimally displaced.
- Fractures that can be treated without surgical intervention.
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 wrist.
- Deformity or abnormal positioning of the wrist.
Causes and Risk Factors
Understanding the causes and risk factors can help in prevention and management.
- Falls or direct trauma to the wrist.
- Osteoporosis or weakened bones.
- Participation in high-risk sports or activities.
Diagnostic Tests Before Procedure
To confirm the diagnosis and plan treatment, the following tests may be performed:
- X-rays to assess the fracture type and alignment.
- CT scans for complex fractures if necessary.
- Physical examination to evaluate wrist 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 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 about any allergies or medications.
- 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 recovery typically involves:
- Wearing a cast or splint for several weeks as directed.
- Managing pain with prescribed medications.
- Attending 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 manipulation.
- Nerve or blood vessel damage.
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Post-Procedure Follow-Up
Follow-up care 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, alternative management options may include:
- Immobilization with a splint without manipulation for stable fractures.
- Physical therapy for rehabilitation post-fracture.
- Pain management with medications and rest.
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 to manage pain.
- Follow medication instructions carefully.
Patient Education & Prevention
Educating patients on prevention can reduce recurrence:
- Engage in weight-bearing exercises to strengthen bones.
- Use protective gear during sports activities.
- Maintain a healthy diet rich in calcium and vitamin D.
Billing and Coding Information
CPT Code: 25675
Category: Surgical Procedures
Common Modifiers:
- 50 - Bilateral procedure
- RT - Right side
- LT - Left side
Average Cost and Insurance Coverage
The cost for this procedure can vary widely:
- Average cost ranges from $1,500 to $3,000.
- Most insurance plans cover this 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 to 8 weeks, depending on the severity.
Will I need physical therapy?
Physical therapy may be recommended after cast removal to regain strength.
