Overview of CPT Code 22520:'Injection of facet joint or sacroiliac joint'
CPT Code 22520 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 22520 is Used?
This procedure is indicated in various clinical scenarios.
- Chronic lower back pain not responding to conservative treatments.
- Pain radiating from the lower back to the legs.
- Sacroiliac joint dysfunction.
- Facet joint osteoarthritis.
- Post-surgical pain management in the lumbar region.
Symptoms Indicating This Procedure
Patients may report several symptoms that lead to this procedure.
- Persistent lower back pain.
- Pain that worsens with movement or prolonged sitting.
- Stiffness in the lower back.
- Pain in the buttocks or hips.
- Difficulty in bending or twisting.
Causes and Risk Factors
Understanding the underlying causes can help in managing the condition.
- Degenerative disc disease.
- Injury or trauma to the back.
- Arthritis affecting the spine.
- Obesity, which increases stress on the spine.
- Age-related changes in spinal structures.
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 visualize soft tissue and nerve involvement.
- CT scans for detailed imaging of the spine.
- Nerve conduction studies to evaluate nerve function.
Procedure Description
The injection procedure involves several key steps.
- Patient is positioned comfortably, usually lying face down.
- Skin is cleaned and sterilized at the injection site.
- Local anesthetic is administered to minimize discomfort.
- Using fluoroscopy or ultrasound for guidance, a needle is inserted into the facet or sacroiliac joint.
- A mixture of corticosteroid and anesthetic is injected into the joint.
- Needle is removed, and a bandage is applied to the injection site.
Preparation for the Procedure
Patients should follow specific guidelines before the injection.
- Inform the doctor about any medications being taken.
- Avoid blood thinners for a few days prior to the procedure.
- Arrive at the facility with a responsible adult for post-procedure transport.
- Wear comfortable clothing that allows 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 24 hours.
- Follow up with the physician to monitor pain relief and any side effects.
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.
- Allergic reaction to the injected medication.
- 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 effectiveness.
- Schedule a follow-up appointment within 1-2 weeks.
- Report any unusual symptoms or complications immediately.
- Discuss pain relief levels and any need for additional treatments.
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.
- Cognitive behavioral therapy for pain management.
Home Care Tips
Patients can take steps at home to aid recovery.
- Engage in gentle stretching exercises as advised.
- Maintain a healthy weight to reduce strain on the back.
- Use proper body mechanics when lifting or bending.
- Stay hydrated and maintain a balanced diet.
Patient Education & Prevention
Education is key to preventing recurrence.
- Understand the importance of posture and ergonomics.
- Incorporate regular physical activity into daily routines.
- Avoid prolonged sitting or standing without breaks.
- Learn techniques for stress management to reduce muscle tension.
Billing and Coding Information
CPT Code: 22520
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 $500 to $1,500.
- Many insurance plans cover this procedure with prior authorization.
- Out-of-pocket costs depend on the patient's deductible and copay.
Related CPT Codes
Frequently Asked Questions (FAQs)
What should I expect during the injection?
You may feel a brief sting from the local anesthetic, followed by pressure during the injection.
How long does the pain relief last?
Pain relief can last from a few days to several months, depending on the individual.
Are there any restrictions after the procedure?
It's recommended to avoid strenuous activities for at least 24 hours post-injection.
Can I drive after the procedure?
You should arrange for someone to drive you home, as you may feel drowsy from the medication.
