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2025 CPT code 25652

Open treatment of ulnar styloid fracture.

Refer to CPT guidelines for fracture and/or dislocation treatment, including global period rules.

Modifiers may be applicable, such as 54 (Surgical Care Only), 76 (Repeat Procedure by Same Physician), and others depending on the circumstances.

Medical necessity for 25652 is established by documentation of a displaced, unstable, or significantly painful ulnar styloid fracture that fails conservative management.

The surgeon prepares the patient, makes the incision, reduces the fracture, assesses ligaments, inserts fixation if needed, confirms reduction via radiographic imaging, closes the incision, and applies a splint or cast.

IMPORTANT:25651 (percutaneous fixation of ulnar styloid fracture)

In simple words: The doctor fixes a broken bone on the outside of your wrist by making a cut, putting the pieces back together, and possibly using small metal parts to hold it in place.They will put a cast or splint on your wrist to keep it from moving while it heals.

This code describes an open surgical procedure to treat a fracture of the ulnar styloid (a bony prominence on the outside of the wrist). The procedure involves making an incision, realigning the fractured bone, and potentially using internal fixation (like pins or wires) for stabilization.A cast or splint is typically applied post-operatively.

Example 1: A patient falls on an outstretched hand, fracturing their ulnar styloid. The fracture is unstable, requiring open reduction and internal fixation with Kirschner wires., A patient sustains a comminuted ulnar styloid fracture in a motor vehicle accident. Open reduction and internal fixation with a plate and screws are performed., An athlete suffers an avulsion fracture of the ulnar styloid during a sporting event. Open reduction and internal fixation with suture anchors are necessary to repair the detached ligament and bone fragment.

Documentation should include details of the fracture (location, type, displacement), operative report (incision, reduction method, fixation used), and post-operative plan (immobilization type, follow-up).

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