Injection(s), platelet rich plasma, any site, including image guidance, harvesting and preparation when performed
CPT4 code
Name of the Procedure:
Injection(s), platelet rich plasma (PRP), any site, including image guidance, harvesting and preparation when performed
Summary
PRP injections involve drawing a small amount of your blood, processing it to concentrate the platelets, and then injecting the platelet-rich plasma back into specific areas of the body to promote healing. Image guidance may be used to ensure precise delivery of the PRP.
Purpose
PRP injections are designed to promote healing in injured tissues, reduce pain, and improve overall function. This procedure is often used to treat chronic tendon injuries, osteoarthritis, ligament sprains, and muscle injuries.
Indications
PRP injections are indicated for:
- Chronic tendon injuries (e.g., tennis elbow)
- Knee osteoarthritis
- Ligament sprains
- Muscle injuries
- Postsurgical healing
Patients who have persistent pain or have not responded to other treatments may be good candidates for PRP therapy.
Preparation
- Patients may be advised to stop taking anti-inflammatory medications a few days before the procedure.
- Blood tests or imaging studies may be required to pinpoint the treatment area.
- Ensure hydration and avoid alcohol the day before the procedure.
Procedure Description
- A small amount of blood is drawn from the patient.
- The blood is processed in a centrifuge to separate and concentrate the platelets.
- Using image guidance (e.g., ultrasound), the PRP is injected into the targeted area.
Local anesthesia may be applied for comfort during the injection.
Tools and Equipment: Centrifuge, needles, syringes, ultrasound machine.
Duration
The entire procedure typically takes about 30 to 60 minutes.
Setting
PRP injections are usually performed in an outpatient clinic or a specialized medical center.
Personnel
The procedure is conducted by a trained physician, often with the assistance of a nurse or technician for blood draw and preparation.
Risks and Complications
Common risks include:
- Temporary pain at the injection site
- Minor bruising or swelling Rare risks:
- Infection
- Nerve damage These complications are usually manageable and occur infrequently.
Benefits
Benefits of PRP therapy include reduced pain, enhanced healing, and improved function. Results may vary, but many patients start experiencing benefits within a few weeks.
Recovery
- Patients may experience mild soreness at the injection site for a few days.
- Reduced activity is recommended for 1-2 days post-procedure.
- Follow-up appointments may be needed to assess progress.
Alternatives
Other treatment options include:
- Physical therapy
- Corticosteroid injections
- Surgical intervention While these alternatives may offer relief, PRP therapy is minimally invasive with a lower risk profile.
Patient Experience
During the procedure, patients often feel minimal discomfort due to local anesthesia. Post-procedure, some soreness is normal, but pain management options such as over-the-counter pain relievers can help maintain comfort.