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Rib fractures that necessitate internal fixation are often the result of significant blunt force trauma to the chest, which can occur during incidents such as falls or motor vehicle accidents. These types of injuries can lead to complications, including potential internal injuries, which require careful assessment by medical professionals. To confirm the presence and extent of the fracture, separate radiographic imaging is performed. The surgical procedure begins with an incision made directly over the affected rib or ribs at the fracture site. During the operation, the surgeon locates and removes any bone fragments and debris that may be present. The fractured rib or ribs are then realigned to their proper anatomical position. To ensure stability and promote healing, an internal fixation device, such as a plate and screws, is employed to secure the fractured rib(s) in place. It is important to note that the codes for these procedures are specific to the number of ribs involved; for instance, CPT® Code 0247T is designated for the open treatment of rib fractures requiring internal fixation for 5 to 6 ribs on one side of the body. This procedure is categorized as unilateral, meaning it addresses fractures on only one side of the chest.
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Rib fractures requiring internal fixation are indicated in cases where there is significant displacement of the rib fragments, which may lead to complications such as respiratory distress or internal organ injury. The following conditions may warrant this surgical intervention:
The procedure for the open treatment of rib fractures requiring internal fixation involves several critical steps to ensure proper alignment and stabilization of the fractured ribs:
After the procedure, patients are typically monitored for any signs of complications, including infection or respiratory issues. Pain management is an essential aspect of post-operative care, and patients may be advised on specific activities to avoid during the recovery period. Follow-up appointments are necessary to assess the healing process and ensure that the internal fixation remains stable. Rehabilitation may also be recommended to restore function and strength in the affected area.
| Short Descr | OPN TX RIB FX 5-6 RIBS | Medium Descr | OPEN TX RIB FRACTURE W/INT FIX UNI 5-6 RIBS | Long Descr | Open treatment of rib fracture requiring internal fixation, unilateral; 5-6 ribs | Status Code | Carriers Price the Code | Global Days | XXX - Global Concept Does Not Apply | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 0 - No payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 0 - Payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Procedure or Service, Multiple Reduction Applies | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P5E - Ambulatory procedures - other | MUE | Not applicable/unspecified. | CCS Clinical Classification | 148 - Other fracture and dislocation procedure |
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