© 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. These types of injuries can lead to complications, including potential internal injuries, which require careful assessment by medical professionals. To confirm the presence and extent of the fracture, separate radiographic imaging is performed. The surgical procedure begins with an incision made directly over the affected rib or ribs at the fracture site. During the operation, the surgeon locates and removes any bone fragments and debris that may be present. The fractured rib or ribs are then realigned to their proper anatomical 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 these procedures are specific to the number of ribs involved; for instance, CPT® Code 0247T is designated for the open treatment of rib fractures requiring internal fixation for 5 to 6 ribs on one side of the body. This procedure is categorized as unilateral, meaning it addresses fractures on only one side of the chest.
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