Overview of CPT Code 24076: Injection of corticosteroid into shoulder joint

CPT Code 24076 refers to the injection of corticosteroids directly into the shoulder joint to reduce inflammation and alleviate pain associated with various shoulder conditions.

When CPT Code 24076 is Used?

This procedure is indicated in several clinical scenarios.

Chronic shoulder pain due to arthritis.
Rotator cuff tendinitis or tears.
Bursitis in the shoulder joint.
Frozen shoulder (adhesive capsulitis).
Shoulder impingement syndrome.

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.
Weakness in the shoulder or arm.

Causes and Risk Factors

Understanding the underlying causes can help in managing shoulder conditions.

Age-related degeneration of shoulder structures.
Previous shoulder injuries or trauma.
Repetitive overhead activities or sports.
Inflammatory conditions like rheumatoid arthritis.
Obesity, which can increase joint stress.

Diagnostic Tests Before Procedure

Several tests may be conducted to confirm the need for this injection.

X-rays to assess joint structure and rule out fractures.
MRI to evaluate soft tissue injuries.
Ultrasound to visualize the shoulder joint and surrounding tissues.
Blood tests to check for inflammatory markers.

Procedure Description

The injection procedure is straightforward and typically performed in an outpatient setting.

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 applied to minimize discomfort.
Using a sterile syringe, the corticosteroid is injected into the shoulder joint.
The injection site is covered with a bandage, and the patient is monitored briefly.

Preparation for the Procedure

Patients should follow specific guidelines to prepare for the injection.

Inform the doctor about any allergies, especially to medications.
Discuss current medications, particularly 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 assess the effectiveness of the injection.

Possible Complications

While generally safe, there are potential risks associated with the procedure.

Infection at the injection site.
Bleeding or bruising.
Temporary increase in pain or discomfort.
Allergic reaction to the corticosteroid.
Tendon rupture or joint damage in rare cases.

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Post-Procedure Follow-Up

Monitoring after the procedure is crucial for assessing recovery.

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

There are several non-surgical options available for shoulder pain management.

Physical therapy to improve strength and flexibility.
Nonsteroidal anti-inflammatory drugs (NSAIDs) for pain relief.
Corticosteroid oral medications.
Heat or cold therapy to manage symptoms.
Activity modification to avoid aggravating the condition.

Home Care Tips

Patients can take steps at home to aid recovery.

Keep the injection site clean and dry.
Use ice packs for 15-20 minutes to reduce swelling.
Engage in gentle range-of-motion exercises as tolerated.
Maintain a healthy diet to support overall joint health.

Patient Education & Prevention

Educating patients can help prevent future shoulder issues.

Maintain a healthy weight to reduce joint stress.
Engage in regular exercise to strengthen shoulder muscles.
Use proper techniques during physical activities to avoid injury.
Seek early treatment for shoulder pain to prevent worsening conditions.

Billing and Coding Information

CPT Code: 24076

Category: Surgery

Common Modifiers:

50 (bilateral procedure)
RT (right side)
LT (left side)

Average Cost and Insurance Coverage

Costs can vary based on location and insurance plans.

Average cost ranges from $200 to $500 per injection.
Many insurance plans cover the procedure, but prior authorization may be required.
Out-of-pocket costs depend on the patient's deductible and copayment.