Overview of CPT Code 24498:'Injection of therapeutic substance into shoulder joint'

Overview of CPT Code 24498:'Injection of therapeutic substance into shoulder joint'

CPT Code 24498 refers to the injection of a therapeutic substance directly into the shoulder joint. This procedure is commonly performed to alleviate pain and improve function in patients with shoulder conditions.

When CPT Code 24498 is Used?

This code is applicable in various clinical scenarios.

• Chronic shoulder pain due to osteoarthritis.
• Rotator cuff injuries.
• Shoulder bursitis.
• Adhesive capsulitis (frozen shoulder).
• Inflammatory conditions such as rheumatoid arthritis.

Symptoms Indicating This Procedure

Patients may report several symptoms that warrant this procedure.

• Persistent shoulder pain that limits daily activities.
• Swelling and tenderness around the shoulder joint.
• Stiffness and reduced range of motion.
• Pain that worsens with movement or at night.

Causes and Risk Factors

Understanding the underlying causes can help in managing shoulder conditions.

• Age-related degeneration of shoulder structures.
• Previous shoulder injuries or surgeries.
• Repetitive overhead activities or sports.
• Certain medical conditions like diabetes or thyroid disorders.

Diagnostic Tests Before Procedure

Several tests may be conducted to confirm the need for the injection.

• X-rays to assess joint structure and rule out fractures.
• MRI to evaluate soft tissue injuries.
• Ultrasound to visualize the shoulder joint and surrounding tissues.
• Blood tests to check for inflammatory markers.

Procedure Description

The injection procedure is typically straightforward.

• The patient is positioned comfortably, often seated or lying down.
• The skin over the shoulder joint is cleaned with an antiseptic solution.
• A local anesthetic may be applied to minimize discomfort.
• Using a sterile syringe, the therapeutic substance is injected into the shoulder joint.
• The injection site is covered with a sterile bandage.

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 or heavy lifting for a few days.
• Follow up with the healthcare provider to monitor progress.

Possible Complications

While generally safe, there are potential risks associated with the procedure.

• Infection at the injection site.
• Bleeding or bruising.
• Allergic reaction to the injected substance.
• Temporary increase in pain or discomfort.

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Post-Procedure Follow-Up

Monitoring after the procedure is crucial for assessing effectiveness.

• Schedule a follow-up appointment within 1-2 weeks.
• Report any unusual symptoms or complications immediately.
• Discuss pain relief and functional improvement during follow-up.

Alternative Treatments

There are several non-surgical options available.

• Physical therapy to strengthen shoulder muscles.
• Corticosteroid injections for inflammation.
• Oral anti-inflammatory medications.
• Heat or cold therapy to manage pain.

Home Care Tips

Simple home care can aid in recovery.

• Keep the injection site clean and dry.
• Use ice packs for 15-20 minutes to reduce swelling.
• Engage in gentle range-of-motion exercises as advised.
• Stay hydrated and maintain a balanced diet.

Patient Education & Prevention

Educating patients can help prevent future issues.

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

Billing and Coding Information

CPT Code: 24498

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 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'
• 20611 - Arthrocentesis, aspiration, and/or injection into a major joint or bursa.