CPT® Code 25526

Open treatment of radial shaft fracture, includes internal fixation, when performed, and open treatment of distal radioulnar joint dislocation (Galeazzi fracture/ dislocation), includes internal fixation, when performed, includes repair of triangular fibrocartilage complex

The CPT® Code 25526 refers to the open treatment of a radial shaft fracture, which includes internal fixation when necessary, as well as the open treatment of a distal radioulnar joint (DRUJ) dislocation, commonly known as a Galeazzi fracture/dislocation. This procedure encompasses the repair of the triangular fibrocartilage complex, which is crucial for the stability and function of the wrist joint. A Galeazzi fracture is characterized by a fracture of the radial shaft located at the junction of the middle and distal thirds of the radius, accompanied by a dislocation or subluxation of the DRUJ. The open reduction technique involves making an incision over the fracture site to access the bone fragments directly, allowing for precise alignment and stabilization. The procedure may require the use of internal fixation devices, such as compression plates and screws, to ensure proper healing and restoration of function. The management of the DRUJ dislocation is also integral to this procedure, as it may necessitate closed or open reduction techniques depending on the stability of the joint after the radial shaft fracture has been addressed. Overall, this code captures the comprehensive approach to treating both the fracture and the associated dislocation, ensuring optimal outcomes for the patient.