Overview of CPT Code 20974: Injection of facet joint or sacroiliac joint
CPT Code 20974 refers to the injection of a facet joint or sacroiliac joint, which is a minimally invasive procedure used to alleviate pain and inflammation in the spine or pelvis.
When CPT Code 20974 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.
- Pain management for patients not responding to conservative treatments.
- Diagnostic purposes to confirm the source of pain.
Symptoms Indicating This Procedure
Patients may report specific symptoms that warrant this injection.
- Localized pain in the lower back or buttocks.
- Pain that radiates down the legs.
- Stiffness or limited range of motion in the back.
- Pain exacerbated by certain movements or positions.
Causes and Risk Factors
Understanding the underlying causes can help in managing the condition.
- Degenerative joint disease.
- Injury or trauma to the spine.
- Inflammatory conditions such as ankylosing spondylitis.
- Age-related wear and tear on the joints.
Diagnostic Tests Before Procedure
Certain tests may be conducted to confirm the need for the injection.
- X-rays to assess joint alignment and degeneration.
- MRI to visualize soft tissue and joint structures.
- CT scans for detailed imaging of the spine.
- Nerve conduction studies to rule out nerve-related issues.
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 applied to minimize discomfort.
- A thin needle is inserted into the targeted joint under imaging guidance.
- Medication, typically a corticosteroid, is injected into the joint.
- Needle is removed, and a bandage is applied to the site.
Preparation for the Procedure
Patients should follow specific guidelines before the injection.
- Inform the doctor of any allergies or medications being taken.
- Avoid blood thinners or anti-inflammatory medications for a few days prior.
- Arrange for transportation home post-procedure if sedation is used.
- Wear comfortable clothing for the procedure.
Recovery and Aftercare
Post-procedure care is essential for optimal recovery.
- Rest for the remainder of the day after the injection.
- Apply ice to the injection site to reduce swelling.
- Avoid strenuous activities for at least 24 hours.
- Follow up with the healthcare provider as advised.
Possible Complications
While generally safe, there are potential risks associated with the procedure.
- Infection at the injection site.
- Bleeding or bruising.
- Nerve damage or increased pain.
- Allergic reaction to the 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 crucial for assessing effectiveness.
- Follow-up appointment within 1-2 weeks to evaluate pain relief.
- Report any unusual symptoms or complications immediately.
- Discuss further treatment options if pain persists.
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 tolerated.
- 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 stress on joints.
- Practice good posture to minimize back strain.
- Engage in regular low-impact exercise.
- Avoid repetitive motions that may aggravate the spine.
Billing and Coding Information
CPT Code: 20974
Category: Injection 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 $300 to $1,500.
- Most insurance plans cover the procedure if deemed medically necessary.
- Out-of-pocket costs depend on the patient's insurance plan.
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 at least 24 hours.
Can I drive after the injection?
If sedation is used, arrange for someone to drive you home.
