Overview of CPT Code 23185: Injection of therapeutic substance into shoulder joint
CPT Code 23185 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 23185 is Used?
This procedure is indicated 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.
- Patient is positioned comfortably, often sitting or lying down.
- Skin over the shoulder is cleaned with antiseptic solution.
- Local anesthetic may be applied to minimize discomfort.
- A syringe containing the therapeutic substance is inserted into the shoulder joint.
- The substance is injected, and the needle is withdrawn carefully.
Preparation for the Procedure
Patients should follow specific guidelines before the injection.
- Inform the doctor about any allergies or medications.
- Avoid blood thinners or anti-inflammatory medications for a few days prior.
- Wear loose-fitting clothing to allow easy access to the shoulder.
- Arrange for transportation if sedation is used.
Recovery and Aftercare
Post-procedure care is essential for optimal recovery.
- Rest the shoulder for 24-48 hours after the injection.
- Apply ice to reduce swelling and discomfort.
- Avoid strenuous activities for a few days.
- Follow up with the healthcare provider as advised.
Possible Complications
While generally safe, some risks may occur.
- 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 important.
- Schedule a follow-up appointment within a week.
- Report any unusual symptoms such as fever or increased pain.
- Discuss the effectiveness of the injection and any further treatment options.
Alternative Treatments
Other management options may be considered.
- Physical therapy to improve strength and flexibility.
- Oral anti-inflammatory medications.
- Corticosteroid injections.
- Heat or cold therapy.
Home Care Tips
Patients can take steps to aid recovery at home.
- Keep the injection site clean and dry.
- Use ice packs to manage swelling.
- Engage in gentle range-of-motion exercises as tolerated.
- 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.
- Practice proper techniques during physical activities.
- Seek early treatment for shoulder injuries.
Billing and Coding Information
CPT Code: 23185
Category: Injection Procedures
Common Modifiers:
- 50 (bilateral procedure)
- RT (right side)
- LT (left side)
Average Cost and Insurance Coverage
Costs can vary based on several factors.
- Average cost ranges from $200 to $600.
- Insurance may cover the procedure if deemed medically necessary.
- Check with your insurance provider for specific coverage details.
Related CPT Codes
Frequently Asked Questions (FAQs)
How long does the procedure take?
The injection typically takes about 15 to 30 minutes.
Will I feel pain during the injection?
You may feel a brief sting from the local anesthetic, but the procedure is generally well-tolerated.
How soon can I return to normal activities?
Most patients can resume normal activities within a few days, depending on their comfort level.
What should I do if I experience increased pain?
Contact your healthcare provider if you experience significant pain or swelling after the injection.
