CPT® Code 25622

Closed treatment of a carpal scaphoid fracture, also known as a navicular fracture, involves a non-invasive approach to managing a fracture of the scaphoid bone, which is one of the eight carpal bones in the wrist. The scaphoid bone is situated at the base of the thumb and is recognized as the most commonly fractured bone in the wrist due to its location and the forces exerted on it during wrist injuries. In this procedure, the fracture is treated without the need for manipulation, meaning that the bone fragments do not require manual repositioning to restore their normal alignment. Prior to the treatment, separate radiographs are obtained to confirm the presence of the fracture, although it is important to note that scaphoid fractures may not be visible on X-rays immediately after the injury and can take one to two weeks to become apparent. A thorough neurovascular examination is conducted to assess the integrity of the nerves and blood vessels surrounding the injury site, ensuring that there are no complications that could affect healing. Following the evaluation, the arm is immobilized using a short arm splint or cast to provide stability and support during the healing process.