Overview of CPT Code 20932: Injection of facet joint or sacroiliac joint
CPT Code 20932 refers to the injection of a facet joint or sacroiliac joint, which is a minimally invasive procedure used to alleviate pain in the lower back and pelvis. This procedure is often performed when conservative treatments have failed and is aimed at reducing inflammation and providing pain relief.
When CPT Code 20932 is Used?
This procedure is indicated in various clinical scenarios.
- Chronic lower back pain due to facet joint arthritis.
- Sacroiliac joint dysfunction causing persistent pain.
- Failed conservative management of back pain.
- Pain radiating from the lower back to the legs.
Symptoms Indicating This Procedure
Patients typically report specific symptoms that may lead to this procedure.
- Localized pain in the lower back or buttocks.
- Pain that worsens with certain movements or positions.
- Stiffness in the lower back.
- Radiating pain down the legs.
Causes and Risk Factors
Understanding the underlying causes can help in managing the condition.
- Degenerative joint disease.
- Injury or trauma to the back.
- Inflammatory conditions such as ankylosing spondylitis.
- Age-related wear and tear on the joints.
Diagnostic Tests Before Procedure
Several tests may be conducted to confirm the need for this injection.
- X-rays to assess joint alignment and degeneration.
- MRI to evaluate soft tissue and joint structures.
- CT scans for detailed imaging of the spine.
- Nerve conduction studies if nerve involvement is suspected.
Procedure Description
The injection procedure involves several key steps.
- Patient is positioned comfortably, often lying face down.
- Skin is cleaned and sterilized at the injection site.
- Local anesthetic may be administered to minimize discomfort.
- A thin needle is inserted into the facet or sacroiliac joint under imaging guidance.
- A corticosteroid and/or anesthetic is injected into the joint.
- Needle is removed, and a bandage is applied.
Preparation for the Procedure
Patients should follow specific guidelines before the injection.
- Discuss any medications with the healthcare provider.
- Avoid blood thinners for a few days prior to the procedure.
- Arrive with a responsible adult if sedation is used.
- Wear comfortable clothing for easy access to the injection site.
Recovery and Aftercare
Post-procedure care is essential 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 the healthcare provider to assess pain relief.
Possible Complications
While generally safe, there are potential risks associated with the procedure.
- Infection at the injection site.
- Bleeding or bruising.
- Nerve damage or irritation.
- 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
Monitoring after the procedure is crucial for assessing outcomes.
- Schedule a follow-up appointment within 1-2 weeks.
- Report any unusual symptoms or complications immediately.
- Discuss the effectiveness of the injection and further treatment options.
Alternative Treatments
There are several non-surgical options available.
- Physical therapy to strengthen back muscles.
- Chiropractic adjustments.
- Acupuncture for pain relief.
- Medications such as NSAIDs or muscle relaxants.
Home Care Tips
Patients can take simple steps to aid recovery at home.
- Stay hydrated and maintain a balanced diet.
- Engage in gentle stretching exercises as advised.
- Use heat therapy to relax muscles if recommended.
- Keep a pain diary to track symptoms and relief.
Patient Education & Prevention
Educating patients can help prevent recurrence.
- Maintain a healthy weight to reduce strain on the back.
- Practice good posture while sitting and standing.
- Engage in regular low-impact exercise.
- Avoid heavy lifting and twisting motions.
Billing and Coding Information
CPT Code: 20932
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 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'
References and Sources
Frequently Asked Questions (FAQs)
What should I expect during the injection?
You may feel a brief pinch or pressure at the injection site.
How long does the pain relief last?
Pain relief can last from a few days to several months.
Are there any restrictions after the procedure?
Avoid heavy lifting and strenuous activities for a few days.
Can I drive after the injection?
If sedation is used, arrange for someone to drive you home.
