Question

A decompression fasciotomy of the right forearm was performed using the operating microscope to explore the brachial artery.

Answer 1

DECOMPENSATED FASCIOTOMY

Fasciotomy or fasciectomy is a surgical procedure where the fascia is cut to relieve tension or pressure commonly to treat the resulting loss of circulation to an area of tissue or muscle.

Fasciotomy is a limb saving procedure when used to treat acute compartment syndrome.

Fasciotomy is most often needed in the leg , but it may also be done in the arm, hand, foot or abdomen.

CPT code for decompression fasciotomy forearm with brachial artery exploration is 24495.

REASONS FOR PROCEDURE

Muscles, nerves and blood vessels are separated into areas called compartments. The compartments are wrapped in a strong sheet of tissue called fascia. Fluid buildup or swelling can increase pressure in the compartment.

This can slow or block the flow of blood in the area and damages nerves. The loss of blood flow can also cause the death of tissue in the area. The pressure can also painfully squeeze tissue including nerves.

Fasciotomy is used to immediately release the pressure inside the compartments. Releasing the pressure will improve blood flow or stop or slow damage to the local tissue.

It may be used to treat acute compartment syndrome and chronic compartment syndrome.

POSSIBLE COMPLICATIONS

• Excessive bleeding
• Infection
• Scarring
• Chronic pain
• Tissue damage
• Future corrective surgery which may include amputation
• Breakdown of muscle tissue