© Copyright 2025 American Medical Association. All rights reserved.
Percutaneous skeletal fixation of a medial or lateral condylar fracture of the humerus is a surgical procedure aimed at stabilizing fractures located at the distal end of the humerus, specifically at the condyles. The humerus, which is the long bone of the upper arm, has two prominent projections known as the medial and lateral epicondyles. A condylar fracture refers to a break that occurs at these projections, which can lead to the separation of the medial metaphysis and epicondyle from the main body of the humerus. These types of fractures can also extend into the trochlea, affecting the articular surface of the joint. This procedure is indicated when a fracture is present in either the medial or lateral condyle, but not both simultaneously. Prior to the fixation, imaging studies, such as radiographs, are performed to confirm the presence and extent of the fracture. A thorough neurovascular examination is conducted to assess the integrity of the nerves and blood vessels surrounding the injury site. The procedure involves manually manipulating the fracture fragments back into their correct anatomical positions, followed by the insertion of percutaneous pins or K-wires to stabilize the fragments. The use of imaging is critical throughout the procedure to ensure proper alignment and fixation of the fracture, ultimately leading to the application of a long arm cast to support the healing process.
© Copyright 2025 Coding Ahead. All rights reserved.
The procedure is indicated for the treatment of specific types of fractures in the distal humerus, particularly:
The procedure involves several critical steps to ensure proper fixation of the fracture:
Post-procedure care involves monitoring the patient for any signs of complications, ensuring that the cast remains intact, and providing instructions for care at home. Patients are typically advised on how to manage pain and swelling, as well as the importance of keeping the cast dry. Follow-up appointments are necessary to assess healing and to determine if any adjustments to the pins or K-wires are needed. The duration of immobilization in the cast will depend on the specific nature of the fracture and the patient's healing progress.
| Short Descr | TREAT HUMERUS FRACTURE | Medium Descr | PRQ SKEL FIXJ HUMRL CNDYLR FX MEDIAL/LAT W/MANJ | Long Descr | Percutaneous skeletal fixation of humeral condylar fracture, medial or lateral, 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) | P3D - Major procedure, orthopedic - other | 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. | 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) |
|
Date
|
Action
|
Notes
|
|---|---|---|
| 1994-01-01 | Added | First appearance in code book in 1994. |
Get instant expert-level medical coding assistance.