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Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)

CPT4 code

Name of the Procedure:

Therapeutic Massage, including Effleurage, Petrissage, and Tapotement (Stroking, Compression, Percussion)

Summary

Therapeutic massage involves manual manipulation of soft tissues using techniques like effleurage (gliding strokes), petrissage (kneading), and tapotement (rhythmic tapping). Each targeted area is treated for a duration of 15 minutes.

Purpose

The procedure aims to relieve muscle tension, improve blood circulation, and promote relaxation. It can help manage pain, reduce stress, and aid muscle recovery.

Indications

  • Muscle tension and pain
  • Stress and anxiety
  • Poor circulation
  • Stiffness and limited range of motion Patients with chronic pain conditions, sports injuries, or high-stress levels might benefit from therapeutic massage.

Preparation

  • No specific fasting requirements.
  • Wear comfortable, loose-fitting clothing.
  • Disclosure of any medical conditions or allergies to the therapist.
  • Some patients may require diagnostic assessments such as X-rays or MRIs if the massage is part of a broader treatment plan.

Procedure Description

  1. The patient lies down on a massage table.
  2. The therapist uses massage oils or lotions to reduce skin friction.
  3. Effleurage: Long, gliding strokes to warm up the muscles.
  4. Petrissage: Kneading and pressing to increase blood flow and reduce muscle tension.
  5. Tapotement: Rhythmic tapping or percussion to stimulate muscles and nerves. No anesthesia or sedation is required.

Duration

Each session typically lasts 15 minutes per targeted area. Total session time can vary based on the number of areas treated.

Setting

Performed in outpatient clinics, wellness centers, or physical therapy offices.

Personnel

Certified massage therapists or licensed physical therapists provide this service.

Risks and Complications

  • Mild soreness or bruising
  • Allergic reactions to oils or lotions
  • Rare: nerve impingement or muscle damage

Benefits

  • Relief from muscle pain and stiffness
  • Improved circulation and range of motion
  • Reduced stress and enhanced relaxation Benefits are often felt immediately or within a few hours after the session.

Recovery

  • Drink plenty of water to flush out toxins released during the massage.
  • Mild soreness is normal and can be managed with hydration and stretching.
  • Follow-up appointments may be necessary for sustained benefits.

Alternatives

  • Physical therapy exercises
  • Over-the-counter pain medications
  • Acupuncture
  • Pros and cons should be discussed with a healthcare provider.

Patient Experience

During the procedure, the patient may feel deep muscle manipulation but typically not pain. Post-massage, they might experience a sense of relaxation and mild discomfort that generally subsides within a day. Pain management techniques such as applying heat and taking mild analgesics can enhance comfort post-procedure.

Medical Policies and Guidelines for Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)

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