How To Use CPT Code 25651

CPT 25651 describes the percutaneous skeletal fixation of an ulnar styloid fracture. 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 25651?

CPT 25651 is used to describe a procedure in which a provider treats a fracture of the ulnar styloid, which is located in the area of the wrist. The procedure involves the insertion of a pin or wire through the skin and into the bone to hold the fracture in place. This type of fracture commonly occurs when a person extends their hand to break a fall.

2. Official Description

The official description of CPT code 25651 is: ‘Percutaneous skeletal fixation of ulnar styloid fracture.’

3. Procedure

1. The patient is appropriately prepped and anesthetized.
2. Using fluoroscopic guidance, the provider reduces or realigns the fracture.
3. A small puncture incision is made in the skin.
4. A small pin or wire is threaded into the bone, traversing the fracture site.
5. The incision is closed.
6. A splint or cast is applied to restrict movement of the wrist during the healing process.

4. Qualifying circumstances

CPT 25651 is used when a patient has a fracture of the ulnar styloid that requires treatment. It is important to note that this procedure is typically performed when there is instability in the distal radial ulnar joint, where the two bones in the forearm come together.

5. When to use CPT code 25651

CPT code 25651 should be used when a provider performs percutaneous skeletal fixation of an ulnar styloid fracture. It is important to ensure that the procedure is necessary and meets the qualifying circumstances mentioned above.

6. Documentation requirements

To support a claim for CPT 25651, the provider must document the following information:

• Patient’s diagnosis and the need for the procedure
• Details of the procedure, including the use of fluoroscopic guidance
• Date of the procedure
• Start and end time of the procedure
• Any additional services or supplies provided
• Signature of the provider performing the procedure

7. Billing guidelines

When billing for CPT 25651, ensure that the procedure meets the necessary criteria and is appropriately documented. It is important to follow the specific guidelines set forth by the payer and to use the correct modifiers, if applicable. Additionally, consider reporting any additional supplies used during the procedure using the appropriate codes.

8. Historical information

CPT 25651 was added to the Current Procedural Terminology system on January 1, 2002. There have been no updates to the code since its addition.

9. Examples

1. A patient falls and fractures their ulnar styloid. The provider performs percutaneous skeletal fixation using a pin to stabilize the fracture.
2. After a car accident, a patient presents with an ulnar styloid fracture. The provider uses fluoroscopic guidance to reduce the fracture and inserts a wire to hold it in place.
3. A patient sustains a sports-related injury and fractures their ulnar styloid. The provider performs percutaneous skeletal fixation using a screw to stabilize the fracture.
4. During a routine check-up, a patient is found to have an ulnar styloid fracture. The provider decides to perform percutaneous skeletal fixation to ensure proper healing.
5. A patient presents with a chronic ulnar styloid fracture that has not healed properly. The provider decides to perform percutaneous skeletal fixation to correct the issue.
6. Following a fall, a patient is diagnosed with an ulnar styloid fracture. The provider performs percutaneous skeletal fixation using a combination of pins and wires to stabilize the fracture.
7. A patient sustains a workplace injury and fractures their ulnar styloid. The provider decides to perform percutaneous skeletal fixation to promote proper healing.
8. After a fall from a bicycle, a patient presents with an ulnar styloid fracture. The provider performs percutaneous skeletal fixation using a combination of screws and wires to stabilize the fracture.
9. A patient is involved in a sports accident and fractures their ulnar styloid. The provider decides to perform percutaneous skeletal fixation to ensure proper healing and prevent further complications.
10. During a routine examination, a patient is found to have an ulnar styloid fracture. The provider decides to perform percutaneous skeletal fixation to promote proper healing and prevent future issues.