Overview of CPT Code 22555:'Injection of facet joint or sacroiliac joint'

Overview of CPT Code 22555:'Injection of facet joint or sacroiliac joint'

CPT Code 22555 refers to the injection of a facet joint or sacroiliac joint, which is a minimally invasive procedure used to alleviate pain in the spine or pelvis. This procedure is often performed when conservative treatments have failed and is aimed at reducing inflammation and pain in the affected joint.

When CPT Code 22555 is Used?

This procedure is indicated in various clinical scenarios, including:

• Chronic lower back pain due to facet joint arthritis.
• Sacroiliac joint dysfunction causing persistent pain.
• Pain management for patients with degenerative joint disease.
• Post-surgical pain relief in patients with spinal surgery history.

Symptoms Indicating This Procedure

Patients typically report the following symptoms:

• Localized pain in the lower back or buttocks.
• Pain that radiates down the legs.
• Stiffness or reduced range of motion in the spine.
• Pain exacerbated by certain movements or positions.

Causes and Risk Factors

Several factors can contribute to the need for this procedure:

• Osteoarthritis of the facet joints.
• Injury or trauma to the spine.
• Age-related degeneration of spinal structures.
• Previous spinal surgeries or conditions.

Diagnostic Tests Before Procedure

Before proceeding with the injection, the following diagnostic tests may be performed:

• X-rays to assess joint alignment and degeneration.
• MRI to evaluate soft tissue and joint structures.
• CT scans for detailed imaging of the spine.
• Nerve conduction studies if nerve involvement is suspected.

Procedure Description

The injection procedure typically follows these steps:

• Patient is positioned comfortably, often lying face down.
• Skin is cleaned and sterilized at the injection site.
• Local anesthetic is administered to minimize discomfort.
• A thin needle is inserted into the facet or sacroiliac joint under fluoroscopic guidance.
• A mixture of corticosteroid and anesthetic is injected into the joint.
• Needle is removed, and a bandage is applied to the site.

Preparation for the Procedure

Patients should follow these preparation steps:

• Avoid blood thinners for several days prior to the procedure.
• Inform the physician of any allergies or medications.
• Arrange for transportation home post-procedure.
• Wear comfortable clothing and avoid heavy meals before the injection.

Recovery and Aftercare

Post-procedure recovery typically involves:

• Resting for the remainder of the day.
• Applying ice to the injection site to reduce swelling.
• Avoiding strenuous activities for at least 24 hours.
• Following up with the physician to assess pain relief and any side effects.

Possible Complications

While generally safe, potential complications include:

• Infection at the injection site.
• Bleeding or bruising.
• Nerve damage or increased pain.
• Allergic reaction to the injected medication.

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

Follow-up care is essential for monitoring recovery:

• 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

Patients may consider these alternative treatments:

• Physical therapy to strengthen supporting muscles.
• Chiropractic adjustments for spinal alignment.
• Acupuncture for pain relief.
• Medications such as NSAIDs or muscle relaxants.

Home Care Tips

To aid recovery, patients should consider:

• Engaging in gentle stretching exercises.
• Maintaining a healthy weight to reduce joint stress.
• Using heat or cold therapy as needed.
• Staying hydrated and eating a balanced diet.

Patient Education & Prevention

To prevent recurrence, patients should:

• Practice good posture and ergonomics.
• Engage in regular low-impact exercise.
• Avoid heavy lifting and twisting motions.
• Stay informed about spinal health and management options.

Billing and Coding Information

CPT Code: 22555

Category: Injection Procedures

Common Modifiers:

• 50 - Bilateral procedure
• RT - Right side
• LT - Left side

Average Cost and Insurance Coverage

The cost of this procedure can vary:

• Average cost ranges from $500 to $1,500.
• Insurance may 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'