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Capsaicin 8% patch, per square centimeter

HCPCS code

Name of the Procedure:

Capsaicin 8% Patch Application
Common Names: Capsaicin Patch
Technical/Medical Term: J7336

Summary

Capsaicin 8% Patch is a medical treatment that involves applying a high concentration capsaicin patch to a specific area of the body to relieve pain. The capsaicin in the patch acts on sensory nerves to reduce the sensation of pain over time.

Purpose

The Capsaicin 8% Patch is used to alleviate pain associated with certain medical conditions. It primarily targets neuropathic pain caused by damage or dysfunction of the nervous system. The patch helps reduce pain intensity over a period, offering sustained relief.

Indications

  • Chronic pain conditions like post-herpetic neuralgia (pain following shingles)
  • Diabetic neuropathy
  • Other types of peripheral neuropathic pain

Preparation

  • No significant fasting or major dietary restrictions.
  • Area of the skin where the patch will be applied may need to be cleaned and dried.
  • Certain medications may need to be adjusted under the guidance of a healthcare provider.
  • Pre-procedure assessment of skin condition where the patch will be applied.

Procedure Description

  1. The healthcare professional assesses and confirms the treatment area.
  2. The skin is thoroughly cleaned and dried.
  3. The patch is carefully applied to the designated area.
  4. The patch is left on for a prescribed duration, typically up to 60 minutes.
  5. After removal, any residual capsaicin is washed off with cleansing gel.

Duration

The patch is typically applied for about 60 minutes.

Setting

The procedure is generally performed in an outpatient clinic or a specialized pain treatment center.

Personnel

  • Trained healthcare professional (nurse or medical technician)
  • Supervision from a physician specializing in pain management

Risks and Complications

  • Redness, pain, or irritation at the application site
  • Burning sensation
  • Rarely, allergic reactions or severe skin reactions

Benefits

  • Effective pain management
  • Can reduce the need for oral pain medications
  • Potential long-term relief from chronic neuropathic pain

Recovery

  • Mild irritation at the application site may persist temporarily.
  • Normal activities can generally be resumed immediately post-procedure.
  • Follow-up appointments to assess pain relief and any potential side effects.

Alternatives

  • Oral pain medications (e.g., NSAIDs, antiepileptics)
  • Topical analgesics or other types of pain patches
  • Physical therapy
  • Nerve blocks or other interventional pain procedures

Patient Experience

  • During application: May feel warmth or mild burning sensation under the patch.
  • Post-application: Possible mild skin irritation or redness.
  • Pain management includes the use of mild analgesics if necessary, and comfort measures to alleviate any local discomfort.

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