Overview of CPT Code 22524:'Injection of therapeutic substance into cervical intervertebral disc'

Overview of CPT Code 22524:'Injection of therapeutic substance into cervical intervertebral disc'

CPT Code 22524 refers to the injection of a therapeutic substance directly into the cervical intervertebral disc. This procedure is typically performed to alleviate pain and inflammation associated with disc-related conditions.

When CPT Code 22524 is Used?

This procedure is indicated in various clinical scenarios.

• Chronic neck pain due to cervical disc degeneration.
• Herniated cervical disc causing radiculopathy.
• Failed conservative treatment for cervical disc-related pain.
• Inflammation of the cervical intervertebral disc.

Symptoms Indicating This Procedure

Patients may report several symptoms that warrant this procedure.

• Persistent neck pain that does not improve with conservative treatment.
• Radiating pain into the shoulders or arms.
• Numbness or tingling in the arms or hands.
• Weakness in the upper extremities.

Causes and Risk Factors

Understanding the underlying causes can help in managing the condition.

• Age-related degeneration of cervical discs.
• Trauma or injury to the cervical spine.
• Genetic predisposition to disc disease.
• Occupational hazards involving repetitive neck movements.

Diagnostic Tests Before Procedure

Several diagnostic tests may be performed to confirm the need for this procedure.

• MRI of the cervical spine to visualize disc pathology.
• CT scan for detailed imaging of the cervical structures.
• X-rays to assess alignment and degeneration.
• Electromyography (EMG) to evaluate nerve function.

Procedure Description

The procedure involves several key steps.

• Patient is positioned comfortably, usually sitting or lying down.
• Skin over the injection site is cleaned and sterilized.
• Local anesthesia is administered to minimize discomfort.
• A fluoroscope or ultrasound is used to guide the needle to the cervical disc.
• Therapeutic substance, such as corticosteroids or hyaluronic acid, is injected into the disc.
• Needle is carefully 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 procedure.
• Inform the physician of any allergies or medications being taken.
• Arrange for transportation home post-procedure due to sedation.
• Wear comfortable clothing and avoid heavy meals before 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 48 hours.
• Follow up with the physician for reassessment and further treatment if necessary.

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 follow-ups may be scheduled based on recovery.
• Long-term monitoring for recurrence of symptoms.

Alternative Treatments

There are several non-surgical options available.

• Physical therapy to strengthen neck muscles.
• Chiropractic adjustments for spinal alignment.
• Medications such as NSAIDs for pain relief.
• Cervical traction to relieve pressure on discs.

Home Care Tips

Patients can take steps at home to aid recovery.

• Maintain good posture while sitting and standing.
• Use ergonomic furniture to support the neck.
• Incorporate gentle stretching exercises as advised.
• Stay hydrated and maintain a healthy diet.

Patient Education & Prevention

Educating patients can help prevent recurrence.

• Understand the importance of neck ergonomics.
• Engage in regular exercise to strengthen neck muscles.
• Avoid repetitive strain on the neck.
• Seek early treatment for neck pain to prevent worsening.

Billing and Coding Information

CPT Code: 22524

Category: Surgical Procedures

Common Modifiers:

• 50 - Bilateral procedure
• 59 - Distinct procedural service

Average Cost and Insurance Coverage

Costs can vary based on location and insurance.

• Average cost ranges from $1,500 to $3,000.
• Most insurance plans cover the procedure if 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'