Overview of CPT Code 20245: Injection of therapeutic substance into muscle

Overview of CPT Code 20245: Injection of therapeutic substance into muscle

CPT Code 20245 refers to the injection of a therapeutic substance directly into a muscle. This procedure is commonly used to treat various musculoskeletal conditions, providing localized relief and promoting healing.

When CPT Code 20245 is Used?

This code is applicable in several clinical scenarios, including but not limited to:

• Chronic pain management in conditions like fibromyalgia.
• Treatment of muscle spasms or tightness.
• Injection of corticosteroids for inflammation reduction.
• Administration of local anesthetics for pain relief.

Symptoms Indicating This Procedure

Patients may report various symptoms that lead to the consideration of this procedure, including:

• Persistent muscle pain or discomfort.
• Muscle stiffness or tightness.
• Limited range of motion in affected areas.
• Swelling or inflammation in the muscle.

Causes and Risk Factors

Several factors can contribute to the need for a muscle injection, including:

• Injury or trauma to the muscle.
• Chronic conditions such as arthritis.
• Overuse injuries from repetitive activities.
• Underlying neurological disorders.

Diagnostic Tests Before Procedure

Before proceeding with the injection, healthcare providers may conduct several diagnostic tests, including:

• MRI or ultrasound imaging to assess muscle condition.
• Blood tests to rule out infections or systemic issues.
• Physical examination to evaluate muscle function and pain.

Procedure Description

The injection procedure typically follows these steps:

• Patient is positioned comfortably to access the injection site.
• Skin is cleaned with antiseptic solution to prevent infection.
• The therapeutic substance is drawn into a syringe.
• A needle is inserted into the muscle at the targeted site.
• The substance is injected slowly into the muscle.
• Needle is withdrawn, and pressure is applied to the site.

Preparation for the Procedure

Patients should follow these guidelines before the injection:

• Inform the healthcare provider about any allergies.
• Discuss current medications, especially blood thinners.
• Avoid eating or drinking for a few hours if sedation is planned.
• Wear loose-fitting clothing for easy access to the injection site.

Recovery and Aftercare

Post-procedure, patients can expect the following:

• Rest the injected muscle for 24 hours.
• Apply ice to the injection site to reduce swelling.
• Avoid strenuous activities for a few days.
• Follow up with the healthcare provider if symptoms worsen.

Possible Complications

While generally safe, this procedure may carry some risks, including:

• Infection at the injection site.
• Allergic reaction to the injected substance.
• Nerve damage or injury.
• Temporary increase in pain or discomfort.

Secure, compliant, and built for trust

HIPAA-compliant and designed with privacy in mind, your patient’s data is protected. Focus on care while we safeguard your information.

Learn more

Post-Procedure Follow-Up

Follow-up care is essential for monitoring recovery:

• Schedule a follow-up appointment within 1-2 weeks.
• Monitor for any adverse reactions or complications.
• Assess the effectiveness of the injection in relieving symptoms.

Alternative Treatments

Patients may consider these non-surgical options:

• Physical therapy to strengthen muscles.
• Chiropractic care for spinal alignment.
• Acupuncture for pain relief.
• Over-the-counter pain medications.

Home Care Tips

To aid recovery, patients can follow these tips:

• Keep the injection site clean and dry.
• Use ice packs to manage swelling.
• Engage in gentle stretching exercises as tolerated.
• Stay hydrated and maintain a balanced diet.

Patient Education & Prevention

To prevent recurrence, patients should consider:

• Engage in regular physical activity to maintain muscle strength.
• Practice proper ergonomics during daily activities.
• Avoid repetitive strain on muscles.
• Seek early treatment for any muscle injuries.

Billing and Coding Information

CPT Code: 20245

Category: Injection Procedures

Common Modifiers:

• 50 - Bilateral procedure
• RT - Right side
• LT - Left side

Average Cost and Insurance Coverage

The cost of this procedure can vary widely:

• Average cost ranges from $100 to $300.
• Insurance may cover the procedure if deemed medically necessary.
• Patients should verify coverage with their insurance provider.

Related CPT Codes

• 20610 - 'Arthrocentesis, aspiration of joint'
• 20605 - 'Arthrocentesis, aspiration, and/or injection into a major joint or bursa'
• 20550 - 'Injection into a major joint or bursa'
• 20551 - 'Injection into a major joint or bursa'
• 20552 - 'Injection into a major joint or bursa'

References and Sources

• American Academy of Orthopaedic Surgeons
• Mayo Clinic - Muscle Injection