Overview of CPT Code 23175: Injection of therapeutic substance into shoulder joint
CPT Code 23175 refers to the injection of a therapeutic substance directly into the shoulder joint. This procedure is commonly performed to alleviate pain and inflammation associated with various shoulder conditions.
When CPT Code 23175 is Used?
This code is applicable in several clinical scenarios.
- Chronic shoulder pain due to osteoarthritis.
- Rotator cuff injuries.
- Shoulder bursitis.
- Adhesive capsulitis (frozen shoulder).
- Inflammatory conditions such as rheumatoid arthritis.
Symptoms Indicating This Procedure
Patients may report various symptoms that lead to this procedure.
- Persistent shoulder pain that limits daily activities.
- Swelling and tenderness around the shoulder joint.
- Stiffness and reduced range of motion.
- Pain that worsens with movement or at night.
Causes and Risk Factors
Several factors can contribute to the need for this injection.
- Age-related degeneration of shoulder structures.
- Previous shoulder injuries or surgeries.
- Repetitive overhead activities or sports.
- Certain medical conditions like diabetes or thyroid disorders.
Diagnostic Tests Before Procedure
Before the injection, certain tests may be conducted.
- X-rays to assess joint structure and degeneration.
- MRI to evaluate soft tissue injuries.
- Ultrasound to visualize the shoulder joint and surrounding tissues.
- Blood tests to rule out inflammatory conditions.
Procedure Description
The injection procedure involves several key steps.
- The patient is positioned comfortably, often sitting or lying down.
- The skin over the shoulder joint is cleaned with an antiseptic solution.
- A local anesthetic may be administered to minimize discomfort.
- Using a sterile syringe, the therapeutic substance is injected into the shoulder joint.
- The injection site is covered with a sterile bandage.
Preparation for the Procedure
Patients should follow specific guidelines before the injection.
- Inform the doctor about any allergies, especially to medications.
- Discuss current medications, including blood thinners.
- Avoid eating or drinking for a few hours before the procedure if sedation is planned.
- Wear loose-fitting clothing to allow easy access to the shoulder.
Recovery and Aftercare
Post-procedure care is essential for optimal recovery.
- Rest the shoulder for 24-48 hours after the injection.
- Apply ice to the injection site to reduce swelling.
- Avoid strenuous activities or heavy lifting for a few days.
- Follow up with the healthcare provider to monitor progress.
Possible Complications
While generally safe, some risks are associated with the procedure.
- Infection at the injection site.
- Bleeding or bruising.
- Allergic reaction to the injected substance.
- Temporary increase in pain or discomfort.
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Post-Procedure Follow-Up
Monitoring after the procedure is crucial.
- Schedule a follow-up appointment within 1-2 weeks.
- Report any unusual symptoms such as increased pain or swelling.
- Discuss the effectiveness of the injection and any further treatment options.
Alternative Treatments
Several non-surgical options may be considered.
- Physical therapy to improve strength and flexibility.
- Nonsteroidal anti-inflammatory drugs (NSAIDs) for pain relief.
- Corticosteroid injections for inflammation.
- Heat or cold therapy to manage symptoms.
Home Care Tips
Patients can take steps to aid recovery at home.
- Keep the injection site clean and dry.
- Use ice packs to reduce swelling as needed.
- Engage in gentle range-of-motion exercises as advised.
- Stay hydrated and maintain a balanced diet.
Patient Education & Prevention
Understanding prevention can help avoid recurrence.
- Maintain a healthy weight to reduce joint stress.
- Engage in regular, low-impact exercise to strengthen shoulder muscles.
- Avoid repetitive overhead activities that strain the shoulder.
- Seek early treatment for shoulder injuries to prevent chronic issues.
Billing and Coding Information
CPT Code: 23175
Category: Surgical 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 $200 to $600.
- Most insurance plans cover the procedure if deemed medically necessary.
- Patients should verify coverage with their insurance provider.
Related CPT Codes
Frequently Asked Questions (FAQs)
Is the injection painful?
Most patients experience minimal discomfort during the injection.
How long does the procedure take?
The injection typically takes about 15-30 minutes.
What should I expect after the injection?
You may experience some soreness, but pain relief can occur within a few days.
Can I drive after the procedure?
Yes, you can usually drive unless sedation was used.
