Overview of CPT Code 25676: Closed treatment of distal radius fracture with manipulation
CPT Code 25676 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 25676 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.
- Inability to move the wrist or hand.
- 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
Before proceeding with treatment, the following diagnostic tests may be performed:
- X-rays to confirm the fracture and assess displacement.
- CT scans for complex fractures or to evaluate joint involvement.
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 preparation steps:
- Inform the physician of 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 includes:
- Wearing a cast or splint for several weeks as directed.
- Managing pain with prescribed medications.
- Follow-up appointments to monitor healing and adjust treatment as necessary.
Possible Complications
While complications are rare, they can occur and may 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 assess healing.
- Additional visits as needed to monitor progress and adjust treatment.
Alternative Treatments
In some cases, alternative treatments may be considered:
- Physical therapy to strengthen the wrist post-injury.
- Bracing or splinting for non-displaced fractures.
- Observation for minor fractures that do not require intervention.
Home Care Tips
Patients can follow these home care tips:
- Keep the wrist elevated to reduce swelling.
- Apply ice packs to the area for pain relief.
- Follow medication instructions carefully.
Patient Education & Prevention
Educating patients on prevention is crucial:
- 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: 25676
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?
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 of the fracture.
Will I need physical therapy?
Physical therapy may be recommended to restore strength and mobility.
