Overview of CPT Code 20806: Injection of anesthetic agent into the cervical spine
CPT Code 20806 refers to the injection of an anesthetic agent into the cervical spine, primarily used to alleviate pain associated with cervical spine disorders.
When CPT Code 20806 is Used?
This procedure is indicated in various clinical scenarios.
- Chronic neck pain due to cervical radiculopathy.
- Pain management for patients with herniated cervical discs.
- Post-surgical pain relief following cervical spine surgery.
- Pain associated with cervical spondylosis.
Symptoms Indicating This Procedure
Patients may report several symptoms that warrant this procedure.
- Persistent neck pain that radiates to the arms.
- Numbness or tingling in the arms or hands.
- Weakness in the upper extremities.
- Difficulty in neck movement.
Causes and Risk Factors
Understanding the underlying causes can help in managing the condition.
- Degenerative disc disease.
- Herniated cervical discs.
- Cervical spondylosis.
- Trauma or injury to the cervical spine.
Diagnostic Tests Before Procedure
Several diagnostic tests may be performed to guide the procedure.
- MRI of the cervical spine to assess disc herniation.
- CT scan for detailed imaging of cervical structures.
- X-rays to evaluate cervical alignment and degeneration.
- Electromyography (EMG) to assess nerve function.
Procedure Description
The procedure involves several key steps.
- Patient is positioned comfortably, usually sitting or lying down.
- Skin over the injection site is cleaned and sterilized.
- Local anesthetic may be applied to minimize discomfort.
- A needle is carefully inserted into the cervical spine area.
- An anesthetic agent is injected into the targeted area.
- Needle is removed, and pressure is applied to the site.
Preparation for the Procedure
Proper preparation is essential for a successful procedure.
- Inform the physician about any medications being taken.
- Avoid blood thinners for a few days prior to the procedure.
- Arrive at the facility with a responsible adult for post-procedure transport.
- Wear comfortable clothing that allows easy access to the neck area.
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 24 hours.
- Follow up with the physician as directed for reassessment.
Possible Complications
While generally safe, there are potential risks involved.
- Infection at the injection site.
- Bleeding or hematoma formation.
- Nerve damage or worsening of symptoms.
- Allergic reaction to the anesthetic agent.
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Post-Procedure Follow-Up
Monitoring after the procedure is important.
- Follow up within 1-2 weeks to assess pain relief.
- Report any unusual symptoms or complications immediately.
- Regular check-ins may be scheduled based on recovery progress.
Alternative Treatments
There are several non-surgical options available.
- Physical therapy to strengthen neck muscles.
- Chiropractic adjustments for spinal alignment.
- Acupuncture for pain relief.
- Medications such as NSAIDs or muscle relaxants.
Home Care Tips
Simple tips can aid in recovery at home.
- Maintain good posture while sitting and standing.
- Use a supportive pillow while sleeping.
- Engage in gentle neck stretches as advised by the physician.
- Stay hydrated and maintain a balanced diet.
Patient Education & Prevention
Education is key to preventing recurrence.
- Understand the importance of ergonomics in daily activities.
- Engage in regular exercise to maintain neck strength.
- Avoid heavy lifting and sudden neck movements.
- Seek early treatment for neck pain to prevent worsening.
Billing and Coding Information
CPT Code: 20806
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 $500 to $1,500.
- Most insurance plans cover this procedure with prior authorization.
- Out-of-pocket costs depend on the deductible and copay.
Related CPT Codes
References and Sources
Frequently Asked Questions (FAQs)
What should I expect during the procedure?
You will feel a slight pinch as the needle is inserted, followed by a sensation of pressure.
How long does the pain relief last?
Pain relief can last from a few days to several months, depending on the individual.
Are there any restrictions after the procedure?
You should avoid heavy lifting and strenuous activities for at least 24 hours.
Can I drive after the procedure?
It is recommended to have someone drive you home due to potential sedation effects.
