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Application of a modality to 1 or more areas; iontophoresis, each 15 minutes

CPT4 code

Name of the Procedure:

Application of a Modality to 1 or More Areas; Iontophoresis, each 15 minutes
Common Name(s): Iontophoresis

Summary

Iontophoresis is a non-invasive treatment that uses a mild electrical current to deliver medication through the skin. Each session typically lasts around 15 minutes and can target one or more areas requiring treatment.

Purpose

Iontophoresis is used to treat a variety of conditions including excessive sweating, pain, inflammation, and certain types of skin conditions. The primary goal is to deliver medication directly into the affected area, reducing symptoms and facilitating healing.

Indications

  • Hyperhidrosis (excessive sweating)
  • Tendonitis
  • Plantar fasciitis
  • Bursitis
  • Arthritis
  • Other localized pain and inflammatory conditions

Preparation

  • No specific fasting required.
  • Patients may be advised to avoid lotions or creams on the treatment area beforehand.
  • Inform your healthcare provider of any allergies or sensitivities to medications.
  • Diagnostic tests may include an assessment of the affected area.

Procedure Description

  1. The treatment area is cleaned and prepared.
  2. Medication is applied to a treatment pad.
  3. The pad is placed on the skin over the targeted area.
  4. An electrode is attached to the pad, and a mild electrical current is applied.
  5. The current drives the medication through the skin and into the tissues.
  6. The procedure is typically painless, though some may feel a slight tingling sensation.

Duration

Each session lasts approximately 15 minutes.

Setting

Iontophoresis is usually performed in a physical therapy clinic, outpatient hospital setting, or at a specialized medical office.

Personnel

  • Physical Therapist
  • Medical Assistant (under supervision)
  • Occasionally, a Physician or Nurse Practitioner

Risks and Complications

  • Minor skin irritation or redness
  • Discomfort or tingling during treatment
  • Allergic reaction to the medication
  • Rarely, skin burns if the device is improperly used

Benefits

  • Non-invasive and painless
  • Effective management of symptoms
  • Localized treatment reduces systemic side effects
  • Quick recovery with immediate return to normal activities

Recovery

  • Minimal to no recovery time needed
  • Patients can resume normal activities immediately
  • Follow provider instructions on any post-treatment care
  • Monitor skin for signs of irritation

Alternatives

  • Oral or topical medications
  • Injections (e.g., corticosteroids)
  • Physical therapy exercises
  • Surgical interventions if conservative treatments fail
  • Pros and cons depend on the specific condition and patient preference

Patient Experience

Patients generally report a painless experience with a mild tingling sensation. Post-treatment, slight redness may occur but typically resolves quickly. Comfort measures are minimal, and pain management is usually not necessary.

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