CPT code 25607 is reported for open treatment of the fracture with internal fixation CPT code 25608 for fracture repair in which two fragments of bone in the joint receive internal fixation and CPT code 25609 for fracture repair in which three or more fragments of bone in the joint receive internal fixation. The incision is repaired in layers using sutures, staples, and/or Steri-strips. The pronator quadratus is replaced at its origin on the radius. Direct visualization and separately reportable x-rays are used to confirm correct reduction and restoration of the joint surface. Usually no screw is inserted through the distal part of the plate since it acts as a buttress and helps hold the fracture in reduction. A small T-plate is fixed to the proximal fragment with one or two screws. The physician reduces the fracture or separation. The pronator quadratus muscle is severed from the radius. The physician exposes the fracture by dissecting between the planes of muscles and tendons of the lateral wrist area while protecting the median nerve. The physician makes a 7.5 cm longitudinal incision along the anterolateral aspect of the distal forearm. Open treatment can be accomplished through (a) one incision (dorsal or palmar) or (b) two or more incisions (dorsal and/or palmar) Procedure Performed for ORIF distal radius CPT codes Combinations of plates, screws, pins, and wires.Open treatment of these fractures can be accomplished with: With or without sigmoid notch involvement.We have separate ORIF distal radius CPT codes in surgery facility.ĭistal radial fractures can be classified as follows: Open treatment of a distal radial fracture is significantly more complex today than when the CPT code for open reduction and internal fixation was originally introduced, due to new technology (eg, fracture specific fixation, fixed angle plate fixation) and the awareness that distal radial fractures require accurate repair. Distal radial fractures can be very complex. ORIF stands for Open Reduction Internal Fixation. Clinical Example for ORIF distal radius CPT codes.Procedure Performed for ORIF distal radius CPT codes.
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