Overview of CPT Code 20663:arthrocentesis-aspiration-and-or-injection-into-major-joint-or-bursa

Overview of CPT Code 20663:arthrocentesis-aspiration-and-or-injection-into-major-joint-or-bursa

CPT Code 20663 refers to the procedure of arthrocentesis, which involves aspiration or injection into a major joint or bursa. This procedure is commonly performed to relieve pain, reduce swelling, or obtain synovial fluid for diagnostic purposes.

When CPT Code 20663 is Used?

This procedure is indicated in various clinical scenarios.

• Joint swelling or effusion due to arthritis.
• Intra-articular injection of corticosteroids for pain relief.
• Diagnostic aspiration of joint fluid to assess for infection or crystals.
• Management of joint conditions such as bursitis.

Symptoms Indicating This Procedure

Patients may report several symptoms that warrant this procedure.

• Swelling in the affected joint.
• Pain or discomfort during movement.
• Stiffness in the joint.
• Limited range of motion.

Causes and Risk Factors

Several factors can lead to the need for arthrocentesis.

• Osteoarthritis or rheumatoid arthritis.
• Gout or pseudogout.
• Infection in the joint (septic arthritis).
• Trauma or injury to the joint.

Diagnostic Tests Before Procedure

Certain tests may be conducted prior to the procedure.

• X-rays to assess joint structure.
• Ultrasound to visualize joint effusion.
• Blood tests to check for inflammatory markers.
• Joint fluid analysis if previously aspirated.

Procedure Description

The procedure is performed in a clinical setting.

• Patient is positioned comfortably.
• Skin over the joint is cleaned with antiseptic.
• Local anesthesia may be administered.
• A sterile needle is inserted into the joint space.
• Fluid is aspirated or medication is injected as needed.
• Needle is removed, and a bandage is applied.

Preparation for the Procedure

Patients should follow specific guidelines before the procedure.

• Inform the doctor about any medications being taken.
• Avoid blood thinners or anti-inflammatory medications as advised.
• Wear loose-fitting clothing to allow access to the joint.
• Arrive at the appointment with a support person if needed.

Recovery and Aftercare

Post-procedure care is essential for recovery.

• Rest the joint for 24 hours after the procedure.
• Apply ice to reduce swelling.
• Take prescribed pain medications as needed.
• Follow up with the healthcare provider as instructed.

Possible Complications

While generally safe, complications can occur.

• Infection at the injection site.
• Bleeding or hematoma formation.
• Nerve or blood vessel injury.
• Allergic reaction to injected medication.

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

Monitoring after the procedure is important.

• Schedule a follow-up appointment within a week.
• Monitor for signs of infection or increased pain.
• Discuss the effectiveness of the procedure with the doctor.
• Adjust treatment plans based on recovery progress.

Alternative Treatments

Other management options may be considered.

• Physical therapy to improve joint function.
• Oral anti-inflammatory medications.
• Corticosteroid pills for systemic inflammation.
• Lifestyle modifications such as weight management.

Home Care Tips

Patients can take steps to aid recovery at home.

• Keep the joint elevated to reduce swelling.
• Avoid strenuous activities for a few days.
• Use over-the-counter pain relievers as needed.
• Stay hydrated and maintain a balanced diet.

Patient Education & Prevention

Education is key to preventing recurrence.

• Understand the importance of joint health.
• Engage in regular low-impact exercise.
• Maintain a healthy weight to reduce joint stress.
• Seek early treatment for joint pain or swelling.

Billing and Coding Information

CPT Code: 20663

Category: Surgical Procedures

Common Modifiers:

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

Average Cost and Insurance Coverage

Costs can vary based on location and insurance.

• Average cost ranges from $150 to $500.
• Insurance may cover the procedure if deemed medically necessary.
• Check with your insurance provider for specific coverage details.

Related CPT Codes

• 20610 - 'Arthrocentesis, aspiration of joint'
• 20611 - Arthrocentesis, aspiration, and/or injection into a major joint or bursa.
• 20612 - 'Arthrocentesis, aspiration, and/or injection into major joint or bursa'
• 20615 - 'Arthrocentesis, aspiration, and/or injection into a major joint or bursa'

References and Sources

• Arthrocentesis: Indications and Techniques
• Joint Aspiration and Injection
• Understanding Arthrocentesis