Overview of CPT Code 22558:'Injection of facet joint, lumbar or sacral'
CPT Code 22558 refers to the injection of a facet joint in the lumbar or sacral region, primarily used for pain management in patients with facet joint syndrome or arthritis.
When CPT Code 22558 is Used?
This procedure is indicated in various clinical scenarios.
- Chronic lower back pain due to facet joint arthritis.
- Facet joint syndrome causing radicular pain.
- Pain relief in patients not responding to conservative treatments.
- Diagnostic purposes to confirm the source of pain.
Symptoms Indicating This Procedure
Patients may report specific symptoms that warrant this injection.
- Localized pain in the lower back.
- Pain that worsens with certain movements or positions.
- Radiating pain to the buttocks or thighs.
- Stiffness or limited range of motion in the lumbar region.
Causes and Risk Factors
Understanding the underlying causes can help in managing the condition.
- Degenerative disc disease.
- Osteoarthritis of the spine.
- Previous spinal injuries.
- Age-related changes in spinal structures.
Diagnostic Tests Before Procedure
Certain tests may be conducted to confirm the need for the injection.
- MRI or CT scan to visualize the facet joints.
- X-rays to assess joint alignment and degeneration.
- Nerve conduction studies if radiculopathy is suspected.
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 may be applied to minimize discomfort.
- A thin needle is inserted into the facet joint under fluoroscopic guidance.
- A mixture of anesthetic and steroid medication is injected into the joint.
Preparation for the Procedure
Patients should follow specific guidelines before the injection.
- Avoid blood thinners for a few days prior to the procedure.
- Inform the doctor about any allergies or medications.
- Arrange for transportation home post-procedure due to sedation.
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 24 hours.
- Follow up with the physician to assess pain relief and function.
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 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
Monitoring after the procedure is crucial for assessing outcomes.
- Follow-up appointment within 1-2 weeks to evaluate pain relief.
- Additional imaging if symptoms persist.
- Discussion of further treatment options if necessary.
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 simple steps to aid recovery at home.
- Stay hydrated and maintain a balanced diet.
- Engage in gentle stretching exercises as tolerated.
- Use heat therapy to relax muscles and alleviate pain.
- Keep a pain diary to track symptoms and relief.
Patient Education & Prevention
Educating patients can help prevent 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: 22558
Category: Injection Procedures
Common Modifiers:
- 50
- RT
- LT
Average Cost and Insurance Coverage
Costs can vary based on location and insurance.
- Average cost ranges from $500 to $1,500.
- Most insurance plans cover the procedure if deemed medically necessary.
- Out-of-pocket costs may apply depending on the plan.
Related CPT Codes
Frequently Asked Questions (FAQs)
What should I expect during the injection?
You may feel a brief pinch or pressure at the injection site.
How long does the pain relief last?
Pain relief can last from a few days to several months.
Are there any restrictions after the procedure?
Avoid heavy lifting and strenuous activities for at least 24 hours.
Can I drive after the injection?
It is recommended to have someone drive you home due to possible sedation.
