CPT® Code 24535

Closed treatment of supracondylar or transcondylar humeral fracture, with or without intercondylar extension; with manipulation, with or without skin or skeletal traction

The CPT® Code 24535 refers to the closed treatment of a supracondylar or transcondylar humeral fracture, which may or may not extend into the intercondylar region. A supracondylar fracture occurs just above the epicondyles of the humerus, while a transcondylar fracture involves the epicondyles themselves. These fractures can also extend into the intercondylar area, potentially affecting the trochlea and olecranon fossa. The procedure involves the manipulation of the fracture fragments to restore proper alignment, which is crucial for optimal healing and function. This treatment may be performed with or without the use of skin or skeletal traction, depending on the specific circumstances of the fracture. Prior to the treatment, radiographs are obtained to confirm the presence and extent of the fracture. The initial management includes immobilization of the arm using a long arm splint, which may later be replaced with a cast once swelling decreases. The use of traction, either skin or skeletal, may be indicated to maintain alignment during the healing process. Skin traction involves the application of a weighted device to the arm, while skeletal traction requires the insertion of a pin into the ulna to facilitate weight distribution. This comprehensive approach ensures that the fracture is treated effectively, promoting proper recovery and minimizing complications.