Overview of CPT Code 24356: Arthroscopy, shoulder, with synovectomy
CPT Code 24356 refers to a minimally invasive surgical procedure known as arthroscopy, performed on the shoulder joint to remove inflamed synovial tissue. This procedure is typically indicated for patients suffering from chronic shoulder pain and inflammation due to conditions such as rheumatoid arthritis or other synovial disorders.
When CPT Code 24356 is Used?
This procedure is appropriate in various clinical scenarios.
- Chronic shoulder pain due to synovitis.
- Rheumatoid arthritis affecting the shoulder joint.
- Persistent inflammation not responding to conservative treatments.
- Joint effusion with significant synovial thickening.
Symptoms Indicating This Procedure
Patients may report several symptoms that lead to the consideration of this procedure.
- Persistent shoulder pain, especially during movement.
- Swelling and tenderness around the shoulder joint.
- Limited range of motion in the shoulder.
- Joint stiffness, particularly in the morning or after inactivity.
Causes and Risk Factors
Several factors can contribute to the need for this procedure.
- Rheumatoid arthritis or other autoimmune diseases.
- Previous shoulder injuries or surgeries.
- Age-related degeneration of joint tissues.
- Genetic predisposition to joint disorders.
Diagnostic Tests Before Procedure
Several tests may be conducted to confirm the need for this procedure.
- MRI to assess the condition of the shoulder joint.
- Ultrasound to evaluate joint effusion.
- X-rays to rule out bone abnormalities.
- Arthrocentesis to analyze synovial fluid.
Procedure Description
The procedure involves several key steps.
- Patient is placed under general or regional anesthesia.
- Small incisions are made around the shoulder joint.
- An arthroscope is inserted to visualize the joint interior.
- Inflamed synovial tissue is identified and removed.
- The joint is irrigated and inspected for any additional issues.
- Incisions are closed with sutures or adhesive strips.
Preparation for the Procedure
Patients should follow specific guidelines before the surgery.
- Avoid eating or drinking for at least 8 hours prior to the procedure.
- Discuss current medications with the healthcare provider.
- 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 recovery.
- Rest the shoulder 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 to prevent infection.
Possible Complications
As with any surgical procedure, there are potential risks.
- Infection at the surgical site.
- Bleeding or hematoma formation.
- Nerve or blood vessel injury.
- Persistent pain or stiffness in the shoulder.
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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 symptoms.
- Physical therapy to improve strength and flexibility.
- Corticosteroid injections to reduce inflammation.
- Non-steroidal anti-inflammatory drugs (NSAIDs) for pain relief.
- Activity modification and rest to alleviate symptoms.
Home Care Tips
Patients can take several steps at home to aid recovery.
- Apply ice packs to reduce swelling.
- Keep the arm elevated to minimize discomfort.
- Follow prescribed medication schedules for pain management.
- Engage in gentle range-of-motion exercises as advised.
Patient Education & Prevention
Understanding the condition can help prevent 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.
- Stay informed about joint health and seek early treatment for symptoms.
Billing and Coding Information
CPT Code: 24356
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 a significant portion if deemed medically necessary.
- Out-of-pocket costs depend on the patient's insurance plan.
Related CPT Codes
Frequently Asked Questions (FAQs)
What is the purpose of a synovectomy?
A synovectomy aims to remove inflamed synovial tissue to relieve pain and improve joint function.
How long does the procedure take?
The arthroscopy typically takes about 1 to 2 hours, depending on the complexity.
Will I need physical therapy after surgery?
Yes, physical therapy is often recommended to help regain strength and mobility.
What can I expect during recovery?
Recovery may take several weeks, with gradual improvement in pain and function.
