Overview of CPT Code 24435: Injection of corticosteroid into elbow joint
CPT Code 24435 refers to the injection of corticosteroids directly into the elbow joint to reduce inflammation and alleviate pain associated with various conditions affecting the joint.
When CPT Code 24435 is Used?
This procedure is indicated in several clinical scenarios.
- Chronic elbow pain due to arthritis.
- Tendinitis or bursitis affecting the elbow.
- Post-traumatic inflammation following an elbow injury.
- Limited range of motion due to joint swelling.
Symptoms Indicating This Procedure
Patients may report various symptoms that lead to this procedure.
- Persistent pain in the elbow joint.
- Swelling and tenderness around the elbow.
- Stiffness or reduced mobility in the elbow.
- Pain that worsens with activity or movement.
Causes and Risk Factors
Several factors can contribute to the need for this injection.
- Osteoarthritis or rheumatoid arthritis.
- Repetitive strain injuries from sports or work.
- Previous elbow injuries or surgeries.
- Age-related degeneration of joint tissues.
Diagnostic Tests Before Procedure
Certain tests may be conducted to confirm the need for the injection.
- X-rays to assess joint damage or arthritis.
- MRI to evaluate soft tissue conditions.
- Ultrasound to visualize joint effusion.
- Blood tests to rule out systemic conditions.
Procedure Description
The injection procedure involves several key steps.
- The patient is positioned comfortably, and the elbow is exposed.
- The skin over the injection site is cleaned with antiseptic.
- A local anesthetic may be applied to minimize discomfort.
- A syringe containing corticosteroid is inserted into the elbow joint.
- The corticosteroid is injected, and the needle is withdrawn.
- Pressure is applied to the site, and a bandage may be placed.
Preparation for the Procedure
Patients should follow specific guidelines before the injection.
- Inform the doctor about any allergies or medications.
- Avoid blood thinners or anti-inflammatory medications prior to the procedure.
- Wear loose-fitting clothing to allow easy access to the elbow.
- Arrange for transportation if sedation is used.
Recovery and Aftercare
Post-procedure care is essential for optimal recovery.
- Rest the elbow for 24-48 hours after the injection.
- Apply ice to reduce swelling and discomfort.
- Avoid strenuous activities for a few days.
- Follow up with the healthcare provider as advised.
Possible Complications
While generally safe, there are potential risks associated with the procedure.
- Infection at the injection site.
- Allergic reaction to the corticosteroid.
- Temporary increase in pain or swelling.
- Tendon rupture or joint damage in rare cases.
Secure, compliant, and built for trust
HIPAA-compliant and designed with privacy in mind, your patient’s data is protected. Focus on care while we safeguard your information.
Learn more
Post-Procedure Follow-Up
Monitoring after the procedure is important.
- Schedule a follow-up appointment within 1-2 weeks.
- Report any unusual symptoms or complications immediately.
- Assess the effectiveness of the injection on pain and mobility.
Alternative Treatments
There are several non-surgical options available.
- Physical therapy to strengthen the elbow.
- Non-steroidal anti-inflammatory drugs (NSAIDs).
- Corticosteroid oral medications.
- Bracing or splinting to support the elbow.
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 range-of-motion exercises as tolerated.
- Stay hydrated and maintain a balanced diet.
Patient Education & Prevention
Educating patients can help prevent recurrence.
- Understand the importance of joint health and maintenance.
- Engage in regular, low-impact exercise to strengthen muscles.
- Avoid repetitive strain on the elbow joint.
- Seek early treatment for elbow injuries to prevent complications.
Billing and Coding Information
CPT Code: 24435
Category: Surgical 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 $600.
- Most insurance plans cover the procedure with prior authorization.
- Out-of-pocket costs may apply depending on the plan.
Related CPT Codes
Frequently Asked Questions (FAQs)
How long does the procedure take?
The injection typically takes about 15-30 minutes.
Will I feel pain during the injection?
A local anesthetic is used to minimize discomfort.
How soon can I return to normal activities?
Most patients can resume normal activities within a few days.
Are there any restrictions after the injection?
Avoid heavy lifting and strenuous activities for a few days.
How effective is the injection?
Many patients experience significant pain relief within a few days.
