© Copyright 2026 American Medical Association. All rights reserved.
Rib fractures that necessitate internal fixation are often the result of significant blunt force trauma to the chest, which can occur during incidents such as falls or motor vehicle accidents. When a patient presents with a suspected rib fracture, a thorough assessment is conducted to identify any potential signs of internal injury, which may accompany the fracture. To confirm the diagnosis, radiographs (X-rays) are obtained, which are separately reportable and essential for visualizing the fracture. The surgical procedure begins with an incision made directly over the affected rib or ribs at the fracture site. Once the incision is made, the surgeon locates and removes any bone fragments and debris that may be present. The fractured rib or ribs are then carefully aligned to restore their proper position. To ensure stability and promote healing, an internal fixation device, such as a plate and screws, is employed to secure the fractured rib(s) in place. It is important to note that the codes for this procedure are specific to unilateral fractures; for instance, CPT® Code 0245T is designated for the internal fixation of a unilateral fracture involving 1-2 ribs. Other codes are available for different numbers of ribs affected, with CPT® Code 0246T for 3-4 ribs, CPT® Code 0247T for 5-6 ribs, and CPT® Code 0248T for 7 or more ribs.
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