How To Use CPT Code 24582

CPT code 24582 describes the percutaneous skeletal fixation of a humeral condylar fracture, either medial or lateral, with manipulation. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 24582?

CPT 24582 is used to describe the percutaneous skeletal fixation of a humeral condylar fracture, either medial or lateral, with manipulation. This code is used when a healthcare provider performs a procedure to realign the fracture and inserts pins or wires through the skin and into the bone to hold the fracture in place.

2. Official Description

The official description of CPT code 24582 is: ‘Percutaneous skeletal fixation of humeral condylar fracture, medial or lateral, with manipulation.’

3. Procedure

During the procedure for CPT 24582, the healthcare provider first prepares the patient and administers anesthesia. Using fluoroscopic guidance, the provider then manipulates the fracture to realign it. Pins or wires are inserted through the skin and into the bone, using a drill, to stabilize the fracture. The wounds are dressed, and a splint or brace is applied to immobilize the arm.

4. Qualifying circumstances

CPT 24582 is performed on patients with a fracture of the condyle of the humerus, either medial or lateral. The procedure is done by a healthcare provider who is appropriately trained and qualified to perform percutaneous skeletal fixation. The patient must meet the criteria for the procedure, and the provider must determine that manipulation and fixation are necessary for proper treatment.

5. When to use CPT code 24582

CPT code 24582 should be used when a healthcare provider performs percutaneous skeletal fixation of a humeral condylar fracture, either medial or lateral, with manipulation. This code should not be used for fractures in other locations or for different types of procedures.

6. Documentation requirements

To support a claim for CPT 24582, the healthcare provider must document the following information:

• Diagnosis of the humeral condylar fracture
• Details of the procedure, including manipulation and percutaneous skeletal fixation
• Use of fluoroscopic guidance, if applicable
• Date and duration of the procedure
• Any additional procedures or services performed during the same encounter
• Signature of the healthcare provider performing the procedure

7. Billing guidelines

When billing for CPT 24582, ensure that the procedure meets the criteria for percutaneous skeletal fixation of a humeral condylar fracture, either medial or lateral, with manipulation. It is important to follow the specific guidelines and requirements set by the payer. Modifier 57, Decision for surgery, may be used if an evaluation and management service resulted in the decision for the procedure. Additional supplies, such as casting materials, may also be reported separately if necessary.

8. Historical information

CPT 24582 was added to the Current Procedural Terminology system on January 1, 1994. There have been no updates or changes to the code since its addition.

9. Similar codes to CPT 24582

There are several similar codes to CPT 24582 that describe different procedures or fractures. Some examples include:

• CPT 24586: Percutaneous skeletal fixation of humeral supracondylar or transcondylar fracture, with manipulation
• CPT 24587: Percutaneous skeletal fixation of humeral supracondylar or transcondylar fracture, with manipulation; with external fixation
• CPT 24588: Percutaneous skeletal fixation of humeral supracondylar or transcondylar fracture, with manipulation; with internal fixation
• CPT 24589: Percutaneous skeletal fixation of humeral supracondylar or transcondylar fracture, with manipulation; with external fixation and internal fixation

9. Examples

1. A healthcare provider performs percutaneous skeletal fixation of a medial humeral condylar fracture with manipulation.
2. A patient with a lateral humeral condylar fracture undergoes percutaneous skeletal fixation with manipulation by a qualified healthcare provider.
3. Using fluoroscopic guidance, a healthcare provider performs percutaneous skeletal fixation of a medial humeral condylar fracture with manipulation and applies a splint for immobilization.
4. A patient with a lateral humeral condylar fracture receives percutaneous skeletal fixation with manipulation and is fitted with a brace for stabilization.
5. A healthcare provider performs percutaneous skeletal fixation of a medial humeral condylar fracture with manipulation and uses pins to hold the fracture in place.
6. Using fluoroscopic guidance, a qualified healthcare provider manipulates and fixes a lateral humeral condylar fracture with percutaneous skeletal fixation.
7. A patient undergoes percutaneous skeletal fixation with manipulation for a medial humeral condylar fracture, and the provider applies a splint for immobilization.
8. A healthcare provider performs percutaneous skeletal fixation of a lateral humeral condylar fracture with manipulation and applies a brace for stabilization.
9. Using fluoroscopic guidance, a qualified healthcare provider manipulates and fixes a medial humeral condylar fracture with percutaneous skeletal fixation and uses pins to hold the fracture in place.
10. A patient with a lateral humeral condylar fracture receives percutaneous skeletal fixation with manipulation, and the provider applies a splint for immobilization.