Overview of CPT Code 25695:Closed treatment of distal radius fracture with manipulation

Overview of CPT Code 25695:Closed treatment of distal radius fracture with manipulation

CPT Code 25695 refers to the closed treatment of a distal radius fracture, which involves realigning the fractured bone without surgical exposure. This procedure is typically performed when the fracture is stable and can be managed without open surgery.

When CPT Code 25695 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 report 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 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 preparation steps:

• 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

Recovery typically involves the following:

• Resting the wrist and avoiding strenuous activities.
• Keeping the wrist elevated to reduce swelling.
• Following up with the physician for cast removal and rehabilitation.
• Taking prescribed pain medications as needed.

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.

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Post-Procedure Follow-Up

Follow-up care is essential for monitoring recovery:

• Initial follow-up within 1-2 weeks to assess healing.
• Additional visits may be scheduled to monitor progress and remove the cast.

Alternative Treatments

In some cases, alternative treatments may be considered:

• Physical therapy to strengthen the wrist post-injury.
• Bracing for non-displaced fractures.
• Observation for minor fractures that do not require intervention.

Home Care Tips

Patients can follow these tips for effective home care:

• Apply ice to the wrist to reduce swelling.
• Keep the wrist elevated above heart level.
• Follow the physician's instructions regarding activity restrictions.

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: 25695

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 patients should verify with their provider.

Related CPT Codes

• 10000 - Incision and drainage of a cyst