Overview of CPT Code 24362:Arthroscopy, shoulder, with synovectomy
CPT Code 24362 refers to a minimally invasive surgical procedure known as arthroscopy, specifically targeting the shoulder joint. This procedure involves the removal of inflamed synovial tissue, which can contribute to pain and dysfunction in the shoulder.
When CPT Code 24362 is Used?
This procedure is indicated in various clinical scenarios.
- Persistent shoulder pain due to synovitis or inflammation.
- Limited range of motion in the shoulder joint.
- Diagnosis and treatment of shoulder joint disorders.
- Failure of conservative treatments such as physical therapy or medication.
Symptoms Indicating This Procedure
Patients may report several symptoms that lead to the consideration of this procedure.
- Chronic shoulder pain, especially during movement.
- Swelling and tenderness around the shoulder joint.
- Stiffness or decreased range of motion.
- Popping or clicking sounds during shoulder movement.
Causes and Risk Factors
Understanding the underlying causes can help in prevention and management.
- Previous shoulder injuries or trauma.
- Repetitive overhead activities or sports.
- Inflammatory conditions such as rheumatoid arthritis.
- Age-related degeneration of shoulder structures.
Diagnostic Tests Before Procedure
Several diagnostic tests may be performed to evaluate the shoulder joint.
- X-rays to assess bone structure and joint space.
- MRI to visualize soft tissues, including cartilage and synovium.
- Ultrasound for real-time imaging of shoulder structures.
- Arthrogram to evaluate joint fluid and abnormalities.
Procedure Description
The procedure is performed under anesthesia and involves several key steps.
- The patient is positioned comfortably, and anesthesia is administered.
- Small incisions are made around the shoulder joint.
- A thin, flexible tube with a camera (arthroscope) is inserted to visualize the joint.
- Inflamed synovial tissue is identified and removed using specialized instruments.
- The joint is inspected for any other abnormalities, and the incisions are closed.
Preparation for the Procedure
Proper preparation is essential for a successful outcome.
- Discuss any medications with your doctor, especially blood thinners.
- Avoid eating or drinking for a specified period before the procedure.
- Arrange for transportation home after the procedure.
- Wear loose-fitting clothing for comfort post-surgery.
Recovery and Aftercare
Post-operative care is crucial for recovery.
- Rest the shoulder and avoid strenuous activities for several weeks.
- Follow prescribed pain management and anti-inflammatory medications.
- Attend physical therapy sessions as recommended.
- Keep the surgical site clean and dry, following wound care instructions.
Possible Complications
While complications are rare, they can occur.
- 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 important to monitor recovery.
- Initial follow-up appointment within 1-2 weeks post-surgery.
- Additional visits to assess healing and physical therapy progress.
- Long-term follow-up may be necessary for ongoing symptoms.
Alternative Treatments
Non-surgical options may be considered before surgery.
- Physical therapy to improve strength and flexibility.
- Corticosteroid injections to reduce inflammation.
- Non-steroidal anti-inflammatory medications (NSAIDs).
- Activity modification to avoid aggravating symptoms.
Home Care Tips
Simple tips can aid in recovery at home.
- Apply ice packs to reduce swelling and pain.
- Keep the shoulder elevated when resting.
- Follow a gentle range of motion exercises as advised.
- Stay hydrated and maintain a balanced diet for healing.
Patient Education & Prevention
Education is key to preventing future issues.
- Engage in shoulder-strengthening exercises.
- Avoid repetitive overhead activities without breaks.
- Maintain a healthy weight to reduce joint stress.
- Seek early treatment for shoulder injuries.
Billing and Coding Information
CPT Code: 24362
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 insurance plan and deductible.
Related CPT Codes
Frequently Asked Questions (FAQs)
What is arthroscopy?
Arthroscopy is a minimally invasive surgical procedure that allows doctors to visualize and treat joint issues.
How long does recovery take?
Recovery can take several weeks, depending on the extent of the procedure and individual healing.
Will I need physical therapy after surgery?
Yes, physical therapy is often recommended to restore strength and mobility.
Are there risks associated with this procedure?
As with any surgery, there are risks, including infection and nerve injury, but they are rare.
How can I manage pain after surgery?
Your doctor will provide pain management options, including medications and ice therapy.
