Overview of CPT Code 20701: Injection of steroid into spinal canal
CPT Code 20701 refers to the procedure of injecting a steroid medication directly into the spinal canal to reduce inflammation and alleviate pain associated with spinal conditions.
When CPT Code 20701 is Used?
This procedure is indicated in various clinical scenarios.
- Chronic back pain due to herniated discs
- Spinal stenosis causing nerve compression
- Radiculopathy with significant pain
- Inflammatory conditions affecting the spine
- Failed conservative treatment for spinal pain
Symptoms Indicating This Procedure
Patients may report several symptoms that warrant this procedure.
- Severe lower back pain
- Radiating pain down the legs
- Numbness or tingling in the extremities
- Muscle weakness
- Difficulty in mobility or daily activities
Causes and Risk Factors
Understanding the underlying causes can help in managing the condition.
- Degenerative disc disease
- Herniated or bulging discs
- Spinal injuries or trauma
- Arthritis affecting the spine
- Obesity and sedentary lifestyle
Diagnostic Tests Before Procedure
Several tests may be conducted to confirm the need for this procedure.
- MRI of the spine to visualize disc and nerve issues
- CT scan for detailed imaging of spinal structures
- X-rays to assess bone alignment and degeneration
- Electromyography (EMG) to evaluate nerve function
Procedure Description
The procedure involves several key steps to ensure safety and effectiveness.
- Patient is positioned comfortably, usually lying on their stomach.
- Skin is cleaned and sterilized at the injection site.
- Local anesthesia is administered to minimize discomfort.
- A needle is carefully inserted into the spinal canal using fluoroscopic guidance.
- Steroid medication is injected into the epidural space.
- Needle is removed, and a bandage is applied to the site.
Preparation for the Procedure
Proper preparation can enhance the success of the procedure.
- Discuss any medications with your doctor, especially blood thinners.
- Avoid eating or drinking for several hours before the procedure.
- Arrange for someone to drive you home post-procedure.
- Wear comfortable clothing and avoid tight-fitting garments.
Recovery and Aftercare
Post-procedure care is crucial for optimal recovery.
- Rest for the remainder of the day after the procedure.
- Apply ice to the injection site to reduce swelling.
- Avoid strenuous activities for at least 48 hours.
- Follow up with your doctor to monitor progress and manage pain.
Possible Complications
While generally safe, there are potential risks associated with the procedure.
- Infection at the injection site
- Bleeding or hematoma formation
- Nerve damage or worsening of symptoms
- Allergic reaction to the steroid medication
- Temporary increase in pain after the injection
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
Regular follow-up is essential to assess recovery.
- Initial follow-up within one week to evaluate pain relief.
- Further assessments at one month and three months post-injection.
- Ongoing monitoring for any complications or recurrence of symptoms.
Alternative Treatments
There are several non-surgical options available.
- Physical therapy to strengthen back muscles
- Chiropractic adjustments for spinal alignment
- Acupuncture for pain relief
- Medications such as NSAIDs or muscle relaxants
- Cognitive behavioral therapy for pain management
Home Care Tips
Simple home care can aid in recovery.
- Keep the injection site clean and dry.
- Use over-the-counter pain relievers as directed.
- Engage in gentle stretching exercises as tolerated.
- Maintain a healthy diet to support overall health.
- Stay hydrated and rest adequately.
Patient Education & Prevention
Education is key to preventing recurrence.
- Maintain a healthy weight to reduce spinal stress.
- Engage in regular low-impact exercise.
- Practice good posture while sitting and standing.
- Avoid heavy lifting and twisting motions.
- Stay informed about spinal health and treatment options.
Billing and Coding Information
CPT Code: 20701
Category: Surgery
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 $1,000 to $3,000.
- Most insurance plans cover the procedure if deemed medically necessary.
- Out-of-pocket costs depend on the patient's deductible and copay.
Related CPT Codes
- 20610 - 'Arthrocentesis, aspiration of joint'
- 20605 - 'Arthrocentesis, aspiration, and/or injection into a major joint or bursa'
References and Sources
Frequently Asked Questions (FAQs)
What is the purpose of a steroid injection?
The injection aims to reduce inflammation and relieve pain in the spinal area.
How long does the procedure take?
The procedure typically takes about 30 minutes.
Will I feel pain during the injection?
You may feel some discomfort, but local anesthesia is used to minimize pain.
How soon can I return to normal activities?
Most patients can resume normal activities within a few days, depending on their comfort level.
Are there any long-term effects of steroid injections?
While many patients experience relief, repeated injections can have side effects, so they should be monitored closely.
