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Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side
CPT4 code
Name of the Procedure:
Range of Motion Measurements and Report; Hand (with or without comparison with normal side)
Summary
Range of motion (ROM) measurements for the hand assess how well the joints move and how far they can be extended or flexed. This helps in diagnosing and tracking the progress of conditions affecting hand mobility.
Purpose
The procedure detects limitations or abnormalities in hand movement. It aids in diagnosing injuries, arthritis, or other musculoskeletal conditions. The goal is to determine the extent of motion limitation and develop an appropriate treatment plan.
Indications
- Hand injuries (fractures, sprains, strains)
- Arthritis (osteoarthritis, rheumatoid arthritis)
- Post-surgical evaluation
- Chronic pain or stiffness in the hand
- Rehabilitation progress tracking
Preparation
- No specific preparation is usually required.
- Patients should wear comfortable clothing.
- Any previous diagnostic imaging or medical records related to the hand's condition should be provided.
Procedure Description
- The patient is seated comfortably.
- A goniometer, an instrument used to measure angles, is placed on the hand joint being evaluated.
- The patient is instructed to move the hand joint through its possible range of motion.
- Measurements are taken for each movement and compared to normal values or the opposite hand if applicable.
- The data is recorded and analyzed.
Duration
The procedure typically takes about 15-30 minutes.
Setting
Usually performed in an outpatient clinic, physical therapy office, or specialist’s practice.
Personnel
- Physical therapists
- Occupational therapists
- Orthopedic specialists
Risks and Complications
- Minimal risk involved.
- Rarely, mild discomfort might occur if the hand is moved beyond its current capability.
Benefits
- Accurate assessment of hand mobility.
- Helps tailor specific rehabilitation or treatment plans.
- Monitors treatment effectiveness and progress over time.
Recovery
- No recovery time is needed.
- Patients can resume normal activities immediately after the procedure.
- Follow-up depends on the findings and subsequent treatment plan.
Alternatives
- Visual assessment of hand movement by a trained professional, though less precise.
- Diagnostic imaging (X-rays, MRIs) can provide additional information but do not measure range of motion.
Patient Experience
- The procedure is usually painless.
- Some discomfort might be experienced if the joint is stiff or painful.
- No sedation or anesthesia is required.