Overview of CPT Code 24360:Injection of corticosteroid into shoulder joint

Overview of CPT Code 24360:Injection of corticosteroid into shoulder joint

CPT Code 24360 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 24360 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 this procedure.

• 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 joint issues.

• Age-related degeneration
• Overuse injuries from repetitive activities
• Previous shoulder injuries
• Inflammatory conditions like rheumatoid arthritis
• Diabetes, which can increase the risk of frozen shoulder

Diagnostic Tests Before Procedure

Certain tests may be performed to confirm the need for this injection.

• X-rays to assess joint structure
• MRI to evaluate soft tissue damage
• Ultrasound to guide injection placement
• Blood tests to rule out infections or inflammatory diseases

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.
• Local anesthetic may be applied to minimize discomfort.
• A syringe containing corticosteroid is inserted into the shoulder joint.
• Corticosteroid is injected, and the needle is withdrawn.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 hours after the injection.
• Apply ice to the injection site to reduce swelling.
• Avoid strenuous activities for a few days.
• Follow up with the physician if symptoms worsen or do not improve.

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 crucial.

• Schedule a follow-up appointment within 1-2 weeks.
• Assess pain relief and range of motion improvements.
• Discuss any ongoing symptoms or concerns.
• Consider additional treatments if necessary.

Alternative Treatments

There are several non-surgical options available.

• Physical therapy to strengthen shoulder muscles
• Non-steroidal anti-inflammatory drugs (NSAIDs)
• Heat or cold therapy
• Corticosteroid oral medications
• 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 for 15-20 minutes to reduce swelling.
• Engage in gentle stretching exercises as advised.
• Maintain a healthy diet to support healing.

Patient Education & Prevention

Understanding prevention can help avoid recurrence.

• Engage in regular shoulder-strengthening exercises.
• Avoid repetitive overhead activities.
• Maintain a healthy weight to reduce joint stress.
• Seek early treatment for shoulder injuries.

Billing and Coding Information

CPT Code: 24360

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.

• Average cost ranges from $200 to $500.
• Insurance may cover the procedure if deemed medically necessary.
• Check with your insurance provider for specific coverage details.

Related CPT Codes

• 20610 - 'Arthrocentesis, aspiration of joint'
• 20605 - 'Arthrocentesis, aspiration, and/or injection into a major joint or bursa'
• 24361 - Arthroscopic debridement of shoulder
• 20611 - Arthrocentesis, aspiration, and/or injection into a major joint or bursa.