CPT® Code 25607

The CPT® Code 25607 refers to the open treatment of a distal radial extra-articular fracture or epiphyseal separation, utilizing internal fixation techniques. In simpler terms, this procedure addresses fractures located in the distal radius, which is the lower segment of the outer bone in the forearm, situated near the wrist. An extra-articular fracture is characterized by a fracture line that does not penetrate into the joint itself, thereby preserving the integrity of the joint surface. However, when such fractures are displaced, they can disrupt the radial-carpal complex, which is essential for wrist function. During the procedure, the surgeon makes a precise incision along the front and lateral aspect of the distal forearm to gain access to the fracture site. Careful retraction of muscles and tendons is performed to avoid injury to the median nerve, which runs in close proximity to the surgical area. In some cases, the pronator quadratus muscle may need to be detached from its attachment point to facilitate access to the fracture. Once the fracture or epiphyseal separation is properly aligned, a small metal plate is strategically positioned to stabilize the fractured bone segment. This plate is then secured to the bone fragment using screws, ensuring that the fracture remains in the correct position during the healing process. It is important to note that if two fragments require internal fixation, CPT® Code 25608 should be used, and for three or more fragments, CPT® Code 25609 is applicable.