Overview of CPT Code 20982: Injection of therapeutic substance into a joint or bursa
CPT Code 20982 refers to the injection of a therapeutic substance directly into a joint or bursa to alleviate pain and inflammation, commonly used in conditions like arthritis or bursitis.
When CPT Code 20982 is Used?
This procedure is indicated in various clinical scenarios.
- Chronic joint pain due to osteoarthritis.
- Inflammation in the bursa causing discomfort.
- Post-traumatic joint pain.
- Conditions like rheumatoid arthritis requiring localized treatment.
Symptoms Indicating This Procedure
Patients may report several symptoms that warrant this injection.
- Persistent joint pain that does not respond to oral medications.
- Swelling and tenderness around the joint.
- Limited range of motion in the affected joint.
- Pain during movement or weight-bearing activities.
Causes and Risk Factors
Understanding the underlying causes can help in managing the condition.
- Age-related degeneration of joint tissues.
- Previous joint injuries or trauma.
- Autoimmune diseases like rheumatoid arthritis.
- Obesity, which increases stress on weight-bearing joints.
Diagnostic Tests Before Procedure
Certain tests may be conducted to confirm the need for the injection.
- X-rays to assess joint damage.
- MRI to evaluate soft tissue structures.
- Ultrasound to visualize joint effusion.
- Blood tests to rule out infections or inflammatory conditions.
Procedure Description
The injection procedure is straightforward and typically performed in an outpatient setting.
- Patient is positioned comfortably, and the affected joint is exposed.
- Skin is cleaned with antiseptic solution to prevent infection.
- A local anesthetic may be applied to minimize discomfort.
- A syringe containing the therapeutic substance is inserted into the joint space.
- The substance is injected slowly, and the needle is withdrawn carefully.
- Pressure is applied to the injection site to minimize bleeding.
Preparation for the Procedure
Patients should follow specific guidelines to prepare for the injection.
- Inform the doctor about any allergies or medications being taken.
- Avoid blood thinners for a few days prior to the procedure.
- 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 after the injection.
- Apply ice to reduce swelling and discomfort.
- Avoid strenuous activities for a few days.
- 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.
- Allergic reaction to the injected substance.
- Temporary increase in pain or swelling.
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Post-Procedure Follow-Up
Monitoring after the procedure is crucial for assessing effectiveness.
- Schedule a follow-up appointment within 1-2 weeks.
- Report any unusual symptoms such as fever or increased pain.
- Discuss the effectiveness of the injection and any further treatment options.
Alternative Treatments
There are several non-surgical options available for managing joint pain.
- Physical therapy to strengthen surrounding muscles.
- Oral anti-inflammatory medications.
- Corticosteroid pills for systemic inflammation.
- Topical analgesics applied directly to the skin.
Home Care Tips
Patients can take simple steps to aid recovery at home.
- Keep the injection site clean and dry.
- Use ice packs to manage swelling.
- Engage in gentle range-of-motion exercises as tolerated.
- Stay hydrated and maintain a balanced diet.
Patient Education & Prevention
Educating patients on prevention can help reduce recurrence.
- Maintain a healthy weight to reduce joint stress.
- Engage in regular low-impact exercise.
- Avoid repetitive joint strain activities.
- Consider dietary supplements like glucosamine for joint health.
Billing and Coding Information
CPT Code: 20982
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 plans.
- Average cost ranges from $200 to $600 per injection.
- Most insurance plans cover the procedure if deemed medically necessary.
- Patients should verify coverage with their insurance provider.
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.
- 20604 - 'Arthrocentesis, aspiration of joint'
- 20612 - 'Arthrocentesis, aspiration, and/or injection into major joint or bursa'
References and Sources
Frequently Asked Questions (FAQs)
Is the injection painful?
Most patients experience minimal discomfort during the injection.
How long does the procedure take?
The injection typically takes about 15-30 minutes.
How soon can I return to normal activities?
You can usually resume normal activities within a day, but avoid strenuous exercise.
What should I do if I experience increased pain?
Contact your healthcare provider if you have significant pain or swelling.
