Osteoarthritis symptoms and functional status assessed (may include the use of a standardized scale or the completion of an assessment questionnaire, such as the SF-36, AAOS Hip & Knee Questionnaire) (OA) [Instructions: Report when osteoarthritis is addre
CPT4 code
Name of the Procedure:
Osteoarthritis Symptoms and Functional Status Assessment (OA) Common names: Osteoarthritis Evaluation, OA Assessment
Summary
In this procedure, healthcare providers evaluate the symptoms and functional status of an individual with osteoarthritis. This assessment may include standardized scales or questionnaires such as the SF-36 or the AAOS Hip & Knee Questionnaire to gauge the impact of osteoarthritis on daily activities and overall health.
Purpose
The assessment aims to understand the severity of osteoarthritis and its impact on the patient's life. This information helps guide treatment decisions and monitor the effectiveness of interventions.
Indications
- Persistent joint pain, stiffness, or swelling
- Difficulty performing daily activities due to joint problems
- Diagnosed with osteoarthritis and needing a progress evaluation
Preparation
- Patients might be asked to review their symptoms and any changes since their last visit.
- They should bring a list of current medications and treatments.
Procedure Description
- Questionnaire Completion: The patient fills out standardized scales like the SF-36 or AAOS Hip & Knee Questionnaire, detailing symptoms and functional limitations.
- Clinical Evaluation: The healthcare provider may perform a physical examination to assess joint range of motion, pain, and swelling.
- Discussion: Review of questionnaire results with the patient, discussing current symptoms, and any changes since the last assessment.
Duration
Typically takes 30 to 60 minutes, depending on the patient and the level of detail required.
Setting
Performed in an outpatient clinic, doctor's office, or possibly via telehealth consultations.
Personnel
The primary care physician, rheumatologist, or orthopedic specialist conducts the evaluation. A nurse or physician assistant may also assist.
Risks and Complications
- Minimal risk involved.
- Possible discomfort during physical examination of affected joints.
Benefits
- Provides a comprehensive understanding of osteoarthritis impact.
- Helps tailor personalized treatment plans.
- Monitors disease progression and treatment efficacy.
Recovery
- No recovery needed.
- Post-assessment instructions may include continuation or adjustment of treatment plans.
Alternatives
- Regular physical exams without standardized questionnaires.
- Self-reported symptom tracking by the patient. Pros of using standardized scales: More accurate, consistent data. Cons of not using standardized scales: Potential for inconsistent and less detailed information.
Patient Experience
- Patients may feel relief in thoroughly discussing symptoms.
- Mild discomfort might occur during the physical examination.
- Generally, the process is straightforward and non-invasive.