Overview of CPT Code 22370: Injection of therapeutic substance into spine

Overview of CPT Code 22370: Injection of therapeutic substance into spine

CPT Code 22370 refers to the injection of a therapeutic substance directly into the spine, typically used to alleviate pain or inflammation associated with spinal conditions.

When CPT Code 22370 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.
• Inflammatory conditions affecting the spine.

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.
• Previous spinal surgeries.
• Obesity and sedentary lifestyle.

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 the spine.
• X-rays to evaluate bone alignment.
• 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 administered 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 procedure.

• Avoid blood thinners for a few days prior to the injection.
• Inform the doctor of any allergies or medications.
• Arrange for transportation home post-procedure.
• Wear comfortable clothing on the day of 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 48 hours.
• Follow up with the physician 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 may be scheduled based on response.
• Long-term follow-up may be necessary for chronic conditions.

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 steps at home to aid recovery.

• Stay hydrated and maintain a balanced diet.
• Engage in gentle stretching exercises as tolerated.
• Use heat therapy to relax muscles.
• 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: 22370

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 $500 to $2,000.
• Most insurance plans cover the procedure if deemed medically necessary.
• Out-of-pocket costs depend on the patient's deductible and copay.

Related CPT Codes

• 10000 - Incision and drainage of a cyst