A distal radius fracture is a common bone fracture of the radius in the forearm. Because of its proximity to the wrist joint, this injury is often called a wrist fracture. Treatment is usually with immobilization, although surgery is sometimes needed for complex fractures. Specific types of distal radius fractures are Colles' fracture; Smith's fracture; Barton's fracture; Chauffeur's fracture.
Distal radius fractures (DRF) are a common injury, especially in the elderly. Displaced fractures can be reduced by closed reduction through several techniques, two of which are compared in this systematic review and meta-analysis. Closed reduction by finger-trap traction (FTT) seems to offer better correction of radial shortening.
Surgery for Distal Radius Fractures This option is usually for fractures that are considered unstable or can’t be treated with a cast. Surgery is typically performed through an incision over the volar aspect of your wrist (where you feel your pulse). This allows full access to the break.
Other intraarticular fracture of lower end of radius The 2022 edition of ICD-10-CM S52. 57 became effective on October 1, 2021.
ICD-10-CM Code for Unspecified fracture of the lower end of right radius, initial encounter for closed fracture S52. 501A.
CPT® 25605 in section: Closed treatment of distal radial fracture (eg, Colles or Smith type) or epiphyseal separation, includes closed treatment of fracture of ulnar styloid, when performed.
Open reduction and internal fixation was designated by the CPT codes 25607, 25608, or 25609 (open treatment of extra- or intra-articular distal radius fracture). Closed reduction and percutaneous pinning was designated by the CPT code 25606 (percutaneous fixation distal radius fracture).
ICD-10 code S62. 91XA for Unspecified fracture of right wrist and hand, initial encounter for closed fracture is a medical classification as listed by WHO under the range - Injury, poisoning and certain other consequences of external causes .
C, Initial encounter for open fracture type IIIA, IIIB, or IIIC. E, Subsequent encounter for open fracture type I or II with routine healing. F, Subsequent encounter for open fracture type IIIA, IIIB, or IIIC with routine healing. H, Subsequent encounter for open fracture type I or II with delayed healing.
December 28, 2017. An intra-articular fracture refers to a fracture that extends from the bone into the nearby joint. In the case of radial fractures, this means that the fracture has extended from the end of the radius (the larger of the two bones in the forearm) into the wrist joint.
CPT Code: 25605 A closed reduction is a procedure that is done to restore normal alignment of a dislocated joint or fractured bone where the affected bones are simply manipulated and no incision is necessary.
Report 25607 for open treatment of the fracture with internal fixation; 25608 for fracture repair in which two fragments of bone in the joint receive internal fixation; and 25609 for fracture repair in which three or more fragments of bone in the joint receive internal fixation.
An extra-articular fracture features a break above the wrist joint; the fracture does not extend into the joint itself. Intra-articular fractures are wrist fractures that affect the wrist joint. The distal radius is fractured, including the joint.
Appendix, Supplemental Digital Content 1. List of upper extremity fracture-related procedures and associated CPT codesORIF ulnar shaft fracture25545ORIF radial shaft or ulnar shaft fracture25574ORIF radial shaft and ulnar shaft fracture25575ORIF extra-articular distal radius fracture2560724 more rows
Ulnar Shaft Fracture ORIF 25545CPT CodingTechniqueIndicationsComplicationsContraindicationsFollow-up Care / Rehab ProtocolAlternativesOutcomesPre-op Planning / Case CardReview References
S52.579S is a billable diagnosis code used to specify a medical diagnosis of other intraarticular fracture of lower end of unspecified radius, sequela. The code S52.579S is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.#N#The ICD-10-CM code S52.579S might also be used to specify conditions or terms like closed fracture distal radius, intra-articular, die-punch or open fracture distal radius, intra-articular, die-punch. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.#N#S52.579S is a sequela code, includes a 7th character and should be used for complications that arise as a direct result of a condition like other intraarticular fracture of lower end of unspecified radius. According to ICD-10-CM Guidelines a "sequela" code should be used for chronic or residual conditions that are complications of an initial acute disease, illness or injury. The most common sequela is pain. Usually, two diagnosis codes are needed when reporting sequela. The first code describes the nature of the sequela while the second code describes the sequela or late effect.#N#Unspecified diagnosis codes like S52.579S are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.
Fractures of specified sites are coded individually by site nd the level of detail furnished by medical record content. A fracture not indicated as open or closed should be coded to closed. A fracture not indicated whether displaced or not displaced should be coded to displaced.
Distal radius fractures are the most common orthopaedic injury and generally result from fall on an outstretched hand. Diagnosis is made clinically and radiographically with orthogonal radiographs of the wrist.
Inability to flex the index finger proximal interphalangeal joint.