Overview of CPT Code 24345:arthroscopic-synovectomy-elbow
CPT Code 24345 refers to an arthroscopic synovectomy of the elbow, a minimally invasive surgical procedure aimed at removing inflamed synovial tissue from the elbow joint. This procedure is typically performed to alleviate pain and improve function in patients with conditions such as rheumatoid arthritis or other inflammatory joint diseases.
When CPT Code 24345 is Used?
This procedure is indicated in several clinical scenarios.
- Persistent elbow pain due to synovitis not responding to conservative treatments.
- Rheumatoid arthritis affecting the elbow joint.
- Joint effusion with significant inflammation.
- Limited range of motion due to synovial thickening.
Symptoms Indicating This Procedure
Patients may report various symptoms that lead to the consideration of this procedure.
- Chronic pain in the elbow joint.
- Swelling and tenderness around the elbow.
- Stiffness and reduced range of motion.
- Popping or clicking sounds during elbow movement.
Causes and Risk Factors
Several factors can contribute to the need for an arthroscopic synovectomy.
- Rheumatoid arthritis.
- Osteoarthritis.
- Previous elbow injuries or trauma.
- Genetic predisposition to joint diseases.
Diagnostic Tests Before Procedure
Before undergoing an arthroscopic synovectomy, several diagnostic tests may be performed.
- X-rays to assess joint damage.
- MRI to evaluate soft tissue structures.
- Ultrasound to detect joint effusion.
- Blood tests to check for inflammatory markers.
Procedure Description
The procedure involves several key steps.
- Patient is placed under general or regional anesthesia.
- Small incisions are made around the elbow joint.
- An arthroscope is inserted to visualize the joint.
- Inflamed synovial tissue is identified and removed.
- The joint is irrigated and inspected for any other issues.
- Incisions are closed with sutures or adhesive strips.
Preparation for the Procedure
Patients should follow specific guidelines to prepare for the surgery.
- Avoid eating or drinking for at least 8 hours before the procedure.
- Discuss current medications with the surgeon, especially blood thinners.
- Arrange for transportation home post-surgery.
- Wear loose-fitting clothing on the day of the procedure.
Recovery and Aftercare
Post-operative care is crucial for a successful recovery.
- Rest the elbow and avoid strenuous activities for several weeks.
- Follow-up appointments to monitor healing.
- Physical therapy may be recommended to regain strength and mobility.
- Keep the surgical site clean and dry.
Possible Complications
As with any surgical procedure, there are potential risks involved.
- Infection at the surgical site.
- Bleeding or hematoma formation.
- Nerve or blood vessel injury.
- Persistent pain or stiffness in the elbow.
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Post-Procedure Follow-Up
Regular follow-up is essential for monitoring recovery.
- Initial follow-up within 1-2 weeks post-surgery.
- Subsequent visits every 4-6 weeks to assess healing.
- Physical therapy sessions as recommended by the surgeon.
Alternative Treatments
There are non-surgical options available for managing elbow conditions.
- Physical therapy to improve strength and flexibility.
- Corticosteroid injections to reduce inflammation.
- Nonsteroidal anti-inflammatory drugs (NSAIDs) for pain relief.
- Activity modification to avoid aggravating symptoms.
Home Care Tips
Patients can take several steps at home to aid recovery.
- Apply ice to the elbow to reduce swelling.
- Elevate the arm to minimize discomfort.
- Follow prescribed medication schedules.
- Engage in gentle range-of-motion exercises as tolerated.
Patient Education & Prevention
Understanding the condition can help prevent recurrence.
- Maintain a healthy weight to reduce joint stress.
- Engage in regular, low-impact exercise.
- Avoid repetitive elbow movements that may cause strain.
- Stay informed about joint health and seek early treatment for symptoms.
Billing and Coding Information
CPT Code: 24345
Category: Surgical 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 $5,000 to $15,000.
- Insurance may cover the procedure if deemed medically necessary.
- Out-of-pocket costs depend on the patient's insurance plan.
Related CPT Codes
Frequently Asked Questions (FAQs)
What is an arthroscopic synovectomy?
It is a minimally invasive surgery to remove inflamed synovial tissue from the elbow.
How long is the recovery period?
Recovery typically takes several weeks, depending on individual healing.
Will I need physical therapy after the procedure?
Yes, physical therapy is often recommended to regain strength and mobility.
Are there risks associated with this procedure?
Yes, potential risks include infection, bleeding, and nerve injury.
