Overview of CPT Code 20840:'Injection of anesthetic agent into the joint or bursa'

Overview of CPT Code 20840:'Injection of anesthetic agent into the joint or bursa'

CPT Code 20840 refers to the injection of an anesthetic agent directly into a joint or bursa to relieve pain and improve function. This procedure is commonly used in orthopedic and pain management settings.

When CPT Code 20840 is Used?

This code is applicable in various clinical scenarios.

• Chronic joint pain due to osteoarthritis.
• Inflammation in the bursa causing discomfort.
• Post-surgical pain management in joints.
• Diagnostic purposes to confirm the source of joint pain.

Symptoms Indicating This Procedure

Patients may report several symptoms that warrant this procedure.

• Persistent joint pain that limits mobility.
• Swelling and tenderness around the joint.
• Pain during movement or weight-bearing activities.
• Stiffness in the joint, especially after periods of inactivity.

Causes and Risk Factors

Understanding the underlying causes can help in managing the condition.

• Degenerative joint diseases like osteoarthritis.
• Injury or trauma to the joint.
• Inflammatory conditions such as rheumatoid arthritis.
• Age-related wear and tear on joints.

Diagnostic Tests Before Procedure

Certain tests may be conducted to guide the procedure.

• X-rays to assess joint structure and degeneration.
• MRI to evaluate soft tissue and cartilage damage.
• Ultrasound to visualize the joint and surrounding tissues.
• Joint aspiration to analyze synovial fluid.

Procedure Description

The procedure is performed in a clinical setting.

• Patient is positioned comfortably, and the area is cleaned.
• Local anesthetic may be applied to minimize discomfort.
• A needle is inserted into the joint or bursa under sterile conditions.
• An anesthetic agent is injected into the joint space.
• The needle is removed, and pressure is applied to the site.

Preparation for the Procedure

Patients should follow specific guidelines before the procedure.

• Inform the physician about any allergies or medications.
• Avoid blood thinners or anti-inflammatory medications as directed.
• Wear loose-fitting clothing to allow easy access to the joint.
• Arrange for transportation if sedation is used.

Recovery and Aftercare

Post-procedure care is essential for optimal recovery.

• Rest the joint for 24-48 hours post-injection.
• Apply ice to reduce swelling and discomfort.
• Follow up with prescribed pain medications if necessary.
• Monitor for any signs of infection or unusual symptoms.

Possible Complications

While generally safe, there are potential risks involved.

• Infection at the injection site.
• Bleeding or bruising around the joint.
• Allergic reaction to the anesthetic agent.
• Temporary increase in pain or swelling.

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Post-Procedure Follow-Up

Regular follow-up is important for assessing recovery.

• Schedule a follow-up appointment within 1-2 weeks.
• Monitor pain levels and joint function during follow-up.
• Discuss any ongoing symptoms or concerns with the physician.

Alternative Treatments

There are several non-surgical options available.

• Physical therapy to strengthen the joint.
• Oral pain medications and anti-inflammatories.
• Corticosteroid injections for inflammation.
• Acupuncture or chiropractic care.

Home Care Tips

Patients can take steps to aid their recovery at home.

• Keep the injection site clean and dry.
• Avoid strenuous activities for a few days.
• Use ice packs to manage swelling.
• Engage in gentle range-of-motion exercises as tolerated.

Patient Education & Prevention

Educating patients can help prevent recurrence.

• Maintain a healthy weight to reduce joint stress.
• Engage in regular low-impact exercise.
• Use proper techniques during physical activities.
• Stay informed about joint health and management options.

Billing and Coding Information

CPT Code: 20840

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 $200 to $600.
• 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'
• 20605 - 'Arthrocentesis, aspiration, and/or injection into a major joint or bursa'
• 20611 - Arthrocentesis, aspiration, and/or injection into a major joint or bursa.

References and Sources

• American Academy of Orthopaedic Surgeons
• Mayo Clinic - Joint Injections