Overview of CPT Code 20975: Injection of therapeutic substance into the spine
CPT Code 20975 refers to the injection of a therapeutic substance directly into the spine, typically used to alleviate pain and inflammation associated with spinal conditions.
When CPT Code 20975 is Used?
This procedure is indicated in various clinical scenarios.
- Chronic back pain not responsive to conservative treatments.
- Herniated disc causing radicular pain.
- Spinal stenosis with associated pain.
- Facet joint pain requiring targeted therapy.
Symptoms Indicating This Procedure
Patients may report a variety of symptoms that lead to this procedure.
- Persistent lower back pain.
- Radiating pain down the legs.
- Numbness or tingling in the extremities.
- Muscle weakness in the legs.
Causes and Risk Factors
Several factors can contribute to the need for this procedure.
- Degenerative disc disease.
- Trauma or injury to the spine.
- Obesity increasing spinal stress.
- Age-related changes in spinal structure.
Diagnostic Tests Before Procedure
Certain tests are often performed to guide the decision for this injection.
- MRI of the spine to assess structural issues.
- CT scan for detailed imaging of spinal anatomy.
- X-rays to evaluate bone alignment and degeneration.
- Electromyography (EMG) to assess nerve function.
Procedure Description
The 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 needle is carefully inserted into the targeted area of the spine.
- Therapeutic substance is injected, often a corticosteroid or anesthetic.
- Needle is removed, and a bandage is applied.
Preparation for the Procedure
Patients should follow specific guidelines before the injection.
- Discuss all medications with the healthcare provider.
- Avoid blood thinners for a specified period before the procedure.
- Arrive with a responsible adult for post-procedure transportation.
- 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 procedure.
- Apply ice to the injection site to reduce swelling.
- Avoid strenuous activities for at least 24-48 hours.
- Follow up with the healthcare provider as directed.
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 injected substance.
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Post-Procedure Follow-Up
Monitoring after the procedure is crucial.
- Initial follow-up within one week to assess pain relief.
- Further evaluations at one month and three months post-injection.
- Regular check-ins to monitor for any complications.
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.
Home Care Tips
Patients can take steps at home to aid recovery.
- Stay hydrated and maintain a balanced diet.
- Engage in gentle stretching exercises as tolerated.
- Use heat therapy for muscle relaxation.
- Keep a pain diary to track symptoms and relief.
Patient Education & Prevention
Education is key to preventing recurrence.
- Maintain a healthy weight to reduce spinal stress.
- 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: 20975
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 medically necessary.
- Out-of-pocket costs depend on the patient's insurance plan.
Related CPT Codes
References and Sources
Frequently Asked Questions (FAQs)
What should I expect during the injection?
You may feel a brief pinch or pressure during the injection.
How long does the procedure take?
The injection typically takes about 30 minutes.
Will I need someone to drive me home?
Yes, it's recommended to have someone accompany you.
How soon will I feel relief?
Some patients experience relief within a few days.
