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Injection(s), of diagnostic or therapeutic substance(s) (including anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, includes contrast for localization when performed,
CPT4 code
Name of the Procedure:
Injection(s) of Diagnostic or Therapeutic Substance(s)
Common name(s): Therapeutic Injection, Diagnostic Injection
Technical/Medical terms: Intra-articular Injection, Epidural Steroid Injection, Joint Injection
Summary
This procedure involves the injection of substances such as anesthetics, antispasmodics, opioids, steroids, or other solutions using a needle or catheter. It may also include the use of contrast material for precise localization but does not involve neurolytic substances.
Purpose
- Medical Condition: Used to diagnose or treat inflammatory conditions, pain, muscle spasms, and various orthopedic or neurological conditions.
- Goals/Outcomes: Alleviation of pain, reduction of inflammation, improvement of function, and diagnostic clarity.
Indications
- Chronic pain
- Arthritis
- Inflammatory joint disorders
- Spinal conditions such as herniated discs or spinal stenosis
- Certain soft tissue injuries
Preparation
- Patients may need to fast for a few hours before the procedure.
- Adjustments to current medications, particularly blood thinners.
- Pre-procedure diagnostic assessments, such as imaging studies (MRI, X-ray).
- Complete a medical history and physical examination.
Procedure Description
- Positioning: Patient is positioned to allow optimal access to the injection site.
- Cleaning: The injection area is cleaned and sterilized.
- Anesthesia: Local anesthesia may be applied to numb the injection site.
- Needle/Catheter Placement: Using guidance methods (ultrasound or fluoroscopy), a needle or catheter is accurately placed.
- Injection: The therapeutic or diagnostic substance is injected. If contrast is used, it helps to ensure correct positioning.
- Completion: The needle or catheter is removed, and the site is covered with a small bandage.
Duration
Approximately 15 to 45 minutes.
Setting
Typically performed in an outpatient clinic, hospital, or surgical center.
Personnel
- Physician or specialist (e.g., anesthesiologist, radiologist, orthopedic surgeon)
- Nurse or medical assistant
- Radiologic technologist (if imaging guidance is used)
Risks and Complications
- Common Risks: Pain at the injection site, temporary worsening of symptoms, bruising.
- Rare Risks: Infection, allergic reaction, bleeding, nerve damage, inadvertent injection into unintended areas.
Benefits
- Expected Benefits: Pain relief, reduced inflammation, improved joint or tissue function.
- Realization: Benefits can be seen immediately or within a few days to weeks, depending on the substance used.
Recovery
- Post-procedure Care: Rest the area for a short period, apply ice if needed.
- Recovery Time: Most patients resume normal activities within a day, but heavy lifting or strenuous activities may be restricted for a few days.
- Follow-up: A follow-up appointment may be scheduled to assess the efficacy of the injection.
Alternatives
- Other Options: Physical therapy, oral medications, surgical interventions.
- Pros and Cons: Less invasive than surgery but may offer temporary relief compared to long-term physical therapy or permanent surgical solutions.
Patient Experience
- During the Procedure: The patient might feel some pressure or slight discomfort when the needle is inserted and the substance is injected.
- After the Procedure: Mild soreness or temporary pain relief is common. Pain management strategies may include over-the-counter pain relievers or prescribed medications.