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Closed treatment of a clavicular fracture involves a non-surgical approach to manage a break in the clavicle, commonly known as the collarbone. This procedure is specifically indicated for cases where the fracture is minimally displaced, meaning that the bone fragments have shifted slightly but can be realigned without the need for surgical intervention. During the treatment, a thorough evaluation is conducted, which includes obtaining radiographs to confirm the presence and extent of the fracture. A neurovascular examination is also performed to assess the integrity of the nerves and blood vessels surrounding the injury site, ensuring that there are no complications that could affect healing or function. If the fracture is determined to be displaced, the clinician will manually manipulate the bone fragments back into their proper anatomical position. Following this reduction, the fracture site is immobilized using a figure-of-eight splint or another suitable immobilization device to promote healing and prevent further injury. This method of treatment is essential for restoring the normal alignment of the clavicle and facilitating recovery without the need for invasive surgical procedures.
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Closed treatment of a clavicular fracture with manipulation is indicated for the following conditions:
The closed treatment of a clavicular fracture with manipulation involves several key procedural steps:
After the closed treatment procedure, the patient will require specific post-procedure care to ensure optimal recovery. The immobilization device, such as a figure-of-eight splint, should remain in place for the duration recommended by the clinician, which may vary based on the severity of the fracture and the patient's healing progress. Follow-up appointments are essential to monitor the healing process, assess the alignment of the clavicle through repeat radiographs, and make any necessary adjustments to the treatment plan. Patients are typically advised on pain management strategies and may be instructed to limit certain activities to avoid stressing the healing bone. Education on signs of complications, such as increased pain, swelling, or changes in sensation, is also provided to ensure prompt medical attention if needed.
| Short Descr | CLTX CLAVICULAR FX W/MNPJ | Medium Descr | CLSD TX CLAVICULAR FRACTURE W/MANIPULATION | Long Descr | Closed treatment of clavicular fracture; with manipulation | Status Code | Active Code | Global Days | 090 - Major Surgery | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 1 - 150% payment adjustment for bilateral procedures applies. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 1 - Statutory 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 | Hospital Part B services paid through a comprehensive APC | ASC Payment Indicator | Surgical procedure on ASC list in CY 2007; payment based on OPPS relative payment weight. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P5B - Ambulatory procedures - musculoskeletal | MUE | 1 | CCS Clinical Classification | 148 - Other fracture and dislocation procedure |
| 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 54 | Surgical care only: when 1 physician or other qualified health care professional performs a surgical procedure and another provides preoperative and/or postoperative management, surgical services may be identified by adding modifier 54 to the usual procedure number. | 58 | Staged or related procedure or service by the same physician or other qualified health care professional during the postoperative period: it may be necessary to indicate that the performance of a procedure or service during the postoperative period was: (a) planned or anticipated (staged); (b) more extensive than the original procedure; or (c) for therapy following a surgical procedure. this circumstance may be reported by adding modifier 58 to the staged or related procedure. note: for treatment of a problem that requires a return to the operating/procedure room (eg, unanticipated clinical condition), see modifier 78. | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | 79 | Unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period: the individual may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure. this circumstance may be reported by using modifier 79. (for repeat procedures on the same day, see modifier 76.) | CR | Catastrophe/disaster related | GC | This service has been performed in part by a resident under the direction of a teaching physician | LT | Left side (used to identify procedures performed on the left side of the body) | RT | Right side (used to identify procedures performed on the right side of the body) | X4 | Episodic/focused services: for reporting services by clinicians who provide focused care on particular types of treatment limited to a defined period and circumstance; the patient has a problem, acute or chronic, that will be treated with surgery, radiation, or some other type of generally time-limited intervention; reporting clinician service examples include but are not limited to, the orthopedic surgeon performing a knee replacement and seeing the patient through the postoperative period | XS | Separate structure, a service that is distinct because it was performed on a separate organ/structure |
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| 2023-01-01 | Note | Short description changed. |
| Pre-1990 | Added | Code added. |
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