CPT® Code 25520

Closed treatment of radial shaft fracture and closed treatment of dislocation of distal radioulnar joint (Galeazzi fracture/dislocation)

The procedure described by CPT® Code 25520 involves the closed treatment of a radial shaft fracture in conjunction with the closed treatment of a dislocation of the distal radioulnar joint, commonly known as a Galeazzi fracture-dislocation. This type of injury typically occurs when there is a fracture in the radial shaft, which is the larger of the two bones in the forearm, along with a dislocation at the distal end of the radius where it meets the ulna at the wrist. The closed treatment approach means that the procedure is performed without making any incisions, utilizing manual manipulation to realign the bones. Prior to treatment, radiographs, or X-rays, are obtained to confirm the presence of the fracture and dislocation. A thorough neurovascular examination is conducted to assess the integrity of the nerves and blood vessels surrounding the injury, ensuring that there are no complications that could affect healing or function. The treatment begins with the application of longitudinal traction to correct any angulation of the radial shaft fracture. Once the fracture is properly aligned, the healthcare provider evaluates the distal radioulnar joint through imaging to check if the dislocation has spontaneously reduced during the manipulation. If the dislocation persists, further manual manipulation is performed to restore proper alignment. Following the successful reduction of both the fracture and dislocation, additional radiographs are taken to verify that both injuries have been adequately addressed. Finally, a long arm splint or cast is applied to immobilize the arm, facilitating the healing process and preventing further injury.