Overview of CPT Code 25690:Closed treatment of distal radius fracture

Overview of CPT Code 25690:Closed treatment of distal radius fracture

CPT Code 25690 refers to the closed treatment of a distal radius fracture, which is a common injury involving the wrist. This procedure is performed without surgical incisions and aims to realign the fractured bone to promote healing.

When CPT Code 25690 is Used?

This code is applicable in various clinical scenarios, including:

• Acute distal radius fracture due to trauma or fall.
• Fractures that are non-displaced or minimally displaced.
• Patients who are not candidates for 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.

• 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 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 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.
• Wear loose-fitting clothing for comfort during 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 care instructions.
• Over-the-counter pain relievers may be recommended for discomfort.
• Attend follow-up appointments to monitor healing.

Possible Complications

While complications are rare, they can occur:

• Improper healing or malunion of the fracture.
• Infection at the site of injury.
• Nerve or blood vessel damage due to swelling or pressure.

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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 swelling.
• Subsequent visits every 4-6 weeks to assess healing progress.
• X-rays may be repeated to ensure proper bone healing.

Alternative Treatments

In some cases, non-surgical options may be considered:

• Physical therapy to improve strength and mobility.
• Bracing or splinting for minor fractures.
• Pain management strategies without surgery.

Home Care Tips

Patients can follow these tips for better recovery:

• Elevate the wrist to reduce swelling.
• Apply ice packs for 15-20 minutes to alleviate pain.
• 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: 25690

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 co-pays may apply.

Related CPT Codes

• 25605 - Closed treatment of distal radius fracture
• 25606 - Closed treatment of distal radius fracture