Overview of CPT Code 24350: Injection of corticosteroid into shoulder joint
CPT Code 24350 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 24350 is Used?
This procedure is indicated in several clinical scenarios.
- Chronic shoulder pain due to arthritis
- Rotator cuff tendinitis
- Shoulder bursitis
- Frozen shoulder (adhesive capsulitis)
- Post-surgical inflammation
Symptoms Indicating This Procedure
Patients may report various symptoms that lead to the consideration of this injection.
- Persistent shoulder pain
- Limited range of motion
- Swelling around the shoulder joint
- Pain that worsens with activity
- Stiffness in the shoulder
Causes and Risk Factors
Several factors can contribute to shoulder conditions requiring corticosteroid injections.
- Age-related degeneration of shoulder structures
- Overuse injuries from repetitive activities
- Previous shoulder injuries or surgeries
- Inflammatory conditions like rheumatoid arthritis
- Genetic predisposition to joint issues
Diagnostic Tests Before Procedure
Certain tests may be performed to confirm the need for an injection.
- X-rays to assess joint structure
- MRI to evaluate soft tissue damage
- Ultrasound for real-time imaging of the shoulder
- Blood tests to rule out systemic 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.
- A local anesthetic may be applied to minimize discomfort.
- A syringe containing corticosteroid is carefully inserted into the shoulder joint.
- The medication is injected, and the needle is withdrawn.
- Pressure is applied to the injection site to minimize bleeding.
Preparation for the Procedure
Patients should follow specific guidelines before 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 for a few days.
- Follow up with the healthcare provider if symptoms worsen.
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
- Allergic reaction to the corticosteroid
- Tendon rupture in rare cases
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Post-Procedure Follow-Up
Monitoring after the procedure is important for assessing effectiveness.
- Schedule a follow-up appointment within 1-2 weeks.
- Monitor pain levels and range of motion.
- Discuss any side effects or concerns with the healthcare provider.
Alternative Treatments
There are several non-surgical options available for shoulder pain management.
- Physical therapy to strengthen shoulder muscles
- Non-steroidal anti-inflammatory drugs (NSAIDs)
- Corticosteroid oral medications
- Heat or cold therapy
- Acupuncture or chiropractic care
Home Care Tips
Patients can take steps at home to aid recovery.
- Keep the injection site clean and dry.
- Use ice packs to manage swelling.
- Engage in gentle stretching exercises as advised.
- Stay hydrated and maintain a balanced diet.
Patient Education & Prevention
Understanding how to prevent shoulder issues is crucial.
- Engage in regular shoulder-strengthening exercises.
- Avoid repetitive overhead activities.
- Maintain good posture during daily activities.
- Seek early treatment for shoulder injuries.
Billing and Coding Information
CPT Code: 24350
Category: Injection 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 $500.
- Most insurance plans cover the procedure with prior authorization.
- Out-of-pocket costs depend on the deductible and copay.
Related CPT Codes
Frequently Asked Questions (FAQs)
How long does the injection take?
The injection itself usually takes just a few minutes.
Will I feel pain during the injection?
A local anesthetic is used to minimize discomfort during the procedure.
How soon can I return to normal activities?
Most patients can resume normal activities within a day or two, but avoid strenuous activities.
How often can I have this injection?
The frequency of injections should be determined by your healthcare provider, typically no more than every 3-4 months.
