Injection, hydrocortisone acetate, up to 25 mg
HCPCS code
Name of the Procedure:
Injection, hydrocortisone acetate, up to 25 mg (HCPCS Code: J1700)
Common Names: Cortisone injection, Hydrocortisone shot
Technical Terms: Intramuscular hydrocortisone acetate injection
Summary
This procedure involves injecting a small dose of hydrocortisone acetate, a corticosteroid, directly into a muscle. It helps reduce inflammation and alleviate pain associated with various medical conditions.
Purpose
Medical Conditions: Inflammation, arthritis, allergic reactions, autoimmune conditions
Goals: To reduce inflammation, decrease pain, and improve mobility and quality of life.
Indications
Symptoms/Conditions: Swelling, pain, joint stiffness, severe allergic reactions, respiratory issues due to inflammation
Patient Criteria: Patients experiencing significant discomfort from inflammation, those with specific autoimmune conditions, or those who've not responded well to other treatments.
Preparation
Pre-procedure Instructions:
- Patients may need to fast for a short period before the injection, depending on their health.
- They may need to adjust or pause certain medications based on physician advice.
- Diagnostic tests like blood work or imaging may be required to pinpoint the inflammation site and gauge treatment suitability.
Procedure Description
- Initial Assessment: The healthcare provider reviews the patient's medical history and symptoms.
- Preparation: The injection site is cleaned and sterilized.
- Injection: Using a sterile syringe, the healthcare provider administers up to 25 mg of hydrocortisone acetate directly into the targeted muscle.
- Post-Injection: A small bandage is applied to the injection site.
Tools/Equipment: Sterile syringe, hydrocortisone acetate vial, antiseptic solution, bandages
Anesthesia/Sedation: Generally not required, but local anesthesia may be used for patient comfort.
Duration
The entire process typically takes around 15-30 minutes, including preparation and post-injection observation.
Setting
The procedure is usually performed in an outpatient clinic, doctor's office, or medical center.
Personnel
Healthcare Professionals Involved: Physician (or trained nurse practitioner/physician assistant), nurse
Risks and Complications
Common Risks: Localized pain, redness, or swelling at the injection site
Rare Risks: Infection, allergic reaction to the medication, localized tissue damage, increased blood sugar levels in diabetic patients
Management: Most complications can be managed with additional medical interventions, such as antibiotics for infections or antihistamines for allergic reactions.
Benefits
Expected Benefits: Significant reduction in inflammation and pain, improved joint mobility
Timeline: Patients may begin to notice improvements within a few days to a week.
Recovery
Post-Procedure Care:
- Keep the injection site clean and dry.
- Avoid strenuous activities for 24-48 hours.
- Follow-up appointments to assess effectiveness and manage any side effects.
Expected Recovery Time: Typically within a few days, with some restrictions on activity for 1-2 days.
Alternatives
Other Treatment Options: Oral corticosteroids, non-steroidal anti-inflammatory drugs (NSAIDs), physical therapy, lifestyle changes (e.g., diet, exercise)
Pros/Cons of Alternatives:
- Oral Medications: Easier to administer but may have systemic side effects.
- Physical Therapy: Non-invasive and promotes long-term health but may not provide immediate relief.
- Lifestyle Changes: Support overall health but may take longer to show results.
Patient Experience
During the Procedure: A minor, sharp pain or discomfort from the needle, followed by possible mild soreness at the injection site. After the Procedure: Mild discomfort or swelling at the injection site, which usually subsides within a few days. Pain management can include over-the-counter pain relievers and applying a cold compress to the injection site.