Hyaluronan or derivative, monovisc, for intra-articular injection, per dose
HCPCS code
Name of the Procedure:
Hyaluronan or Derivative, Monovisc for Intra-Articular Injection (HCPCS J7327) Common name(s): Monovisc injection Medical term: Hyaluronic acid intra-articular injection
Summary
Monovisc is a single-dose injection of hyaluronic acid administered directly into a joint, commonly the knee, to provide temporary relief from pain and improve joint function. It acts as a lubricant and shock absorber in the joint space, helping to alleviate symptoms associated with osteoarthritis.
Purpose
Medical Conditions: Primarily used to treat osteoarthritis of the knee. Goals/Outcomes: To reduce joint pain and improve joint mobility and function, enabling better quality of life for individuals with joint disorders.
Indications
Symptoms/Conditions:
- Persistent knee pain due to osteoarthritis not adequately relieved by conservative treatments like physical therapy or oral medications.
Patient Criteria:
- Patients with moderate to severe knee osteoarthritis.
- Patients who have not responded well to other treatments.
Preparation
Pre-procedure Instructions:
- No specific fasting required.
Continue with regular medications unless otherwise instructed by a healthcare provider.
Diagnostic Tests/Assessments:
- X-rays or MRI of the knee to confirm osteoarthritis.
- Physical examination of the joint.
Procedure Description
- Joint Preparation: The knee area is cleaned and sterilized to prevent infection.
- Anesthesia: Local anesthetic may be applied to numb the area.
- Injection: Using a fine needle, Monovisc is injected directly into the joint space.
- Post-Injection Care: The patient may be asked to move the knee gently to distribute the medication evenly.
Tools/Equipment: Syringe, fine needle, antiseptics.
Duration
The procedure typically takes about 30 minutes, including preparation and post-injection observation.
Setting
Performed in a medical office, outpatient clinic, or hospital outpatient department.
Personnel
- Orthopedic surgeon or Rheumatologist
- Nurse or Medical Assistant
Risks and Complications
Common Risks: Mild pain or swelling at the injection site. Rare Risks: Infection, allergic reaction, bleeding, joint stiffness. Management: Most side effects are mild and temporary. Severe complications might need further medical intervention.
Benefits
- Relief from knee pain within a few days.
- Improved joint mobility.
- Reduced need for pain medications.
- Possible delay in more invasive treatments, like surgery.
Recovery
Post-Procedure Care:
- Rest the knee for 24 hours post-injection.
- Avoid strenuous activities for a few days.
Ice application to reduce swelling.
Recovery Time: Most patients resume normal activities within a few days. Follow-up: Scheduled check-ups with your healthcare provider to monitor progress.
Alternatives
Other Treatment Options:
- Physical therapy
- Oral pain medications (NSAIDs, acetaminophen)
- Knee braces or supports
- Corticosteroid injections
- Surgical options (e.g., arthroscopy, knee replacement)
Pros and Cons:
- Non-invasive alternatives may be less effective for severe cases.
- Surgery may provide a more permanent solution but comes with higher risks and longer recovery.
Patient Experience
During Procedure: Minimal pain due to local anesthesia; the patient may feel pressure during the injection. After Procedure: Mild soreness or swelling which can be managed with ice and over-the-counter pain relievers. Pain Management: Local anesthetic used during the procedure, additional pain relief if necessary post-procedure.