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Closed treatment of a radial shaft fracture refers to a non-surgical method of managing a fracture located in the radial shaft, which is the long bone in the forearm. This procedure is specifically indicated for cases where the fracture is nondisplaced, meaning that the bone fragments have not shifted from their original position. During this treatment, the physician will first obtain radiographs, or X-rays, to confirm the presence of the fracture and assess its characteristics. A thorough neurovascular examination is also conducted to ensure that the nerves and blood vessels surrounding the fracture site remain intact and functional, which is crucial for the patient's recovery and overall limb health. In this context, the term 'closed treatment' signifies that no surgical manipulation of the fracture fragments is performed; instead, the focus is on immobilizing the arm to allow for natural healing. The arm is typically immobilized using a long arm splint or cast, which provides the necessary support and stability to the injured area during the healing process.
© Copyright 2025 Coding Ahead. All rights reserved.
Closed treatment of a radial shaft fracture is indicated for specific conditions related to the fracture's characteristics. The following are the explicitly provided indications for this procedure:
The closed treatment of a radial shaft fracture involves several key procedural steps that ensure proper management of the injury. The first step is to obtain radiographs, which are essential for confirming the diagnosis of the fracture and assessing its alignment. Following the imaging, a comprehensive neurovascular examination is conducted to evaluate the integrity of the nerves and blood vessels in the area surrounding the fracture. This examination is critical to rule out any potential complications that could arise from the injury. Once the fracture is confirmed and the neurovascular status is deemed satisfactory, the next step is to immobilize the arm. This is typically achieved by applying a long arm splint or cast, which serves to stabilize the fracture site and prevent any movement that could hinder the healing process. Throughout the treatment, the physician monitors the patient's condition and may schedule follow-up appointments to assess healing through additional radiographs as necessary.
After the closed treatment of a radial shaft fracture, the patient is advised on post-procedure care to ensure optimal recovery. The immobilization device, such as a long arm splint or cast, must remain in place for a specified duration to allow the fracture to heal properly. Patients are typically instructed to keep the affected arm elevated to reduce swelling and to avoid any activities that could stress the fracture site. Follow-up appointments are essential for monitoring the healing process, and additional radiographs may be obtained to confirm that the fracture is healing correctly. Patients should also be aware of signs of complications, such as increased pain, swelling, or changes in sensation, and report these to their healthcare provider promptly.
| Short Descr | CLTX RDL SHFT FX W/O MNPJ | Medium Descr | CLOSED TX RADIAL SHAFT FRACTURE W/O MANIPULATION | Long Descr | Closed treatment of radial shaft fracture; without 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 | Procedure or Service, Multiple Reduction Applies | ASC Payment Indicator | Office-based surgical procedure added to ASC list in CY 2008 or later with MPFS nonfacility PE RVUs; payment based on OPPS relative payment weight. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P6B - Minor procedures - musculoskeletal | MUE | 1 | CCS Clinical Classification | 145 - Treatment, fracture or dislocation of radius and ulna |
| 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) | 50 | Bilateral procedure: unless otherwise identified in the listings, bilateral procedures that are performed at the same session, should be identified by adding modifier 50 to the appropriate 5 digit code. note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 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. | 78 | Unplanned return to the operating/procedure room by the same physician or other qualified health care professional following initial procedure for a related procedure during the postoperative period: it may be necessary to indicate that another procedure was performed during the postoperative period of the initial procedure (unplanned procedure following initial procedure). when this procedure is related to the first, and requires the use of an operating/procedure room, it may be reported by adding modifier 78 to the related procedure. (for repeat procedures, see modifier 76.) | 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.) | AQ | Physician providing a service in an unlisted health professional shortage area (hpsa) | GC | This service has been performed in part by a resident under the direction of a teaching physician | GV | Attending physician not employed or paid under arrangement by the patient's hospice provider | GW | Service not related to the hospice patient's terminal condition | Q6 | Service furnished under a fee-for-time compensation arrangement by a substitute physician or by a substitute physical therapist furnishing outpatient physical therapy services in a health professional shortage area, a medically underserved area, or a rural area | 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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| 2025-01-01 | Changed | Short Description changed. |
| Pre-1990 | Added | Code added. |
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