trigger finger injection cpt

2 min read 18-10-2024

Trigger finger, medically known as stenosing tenosynovitis, is a condition characterized by the locking or catching of a finger when bending or straightening it. This condition can cause significant discomfort and restrict hand mobility. One of the treatment options for trigger finger is an injection, often coded under the Current Procedural Terminology (CPT) system. In this article, we'll delve into trigger finger injection CPT codes, the procedure itself, and what patients can expect.

What is Trigger Finger Injection CPT?

CPT codes are a set of medical codes used to describe specific medical, surgical, and diagnostic services. For trigger finger injections, two CPT codes are commonly referenced:

CPT Code 20605: This code is used for the injection of a tendon sheath or a bursa, specifically for trigger finger conditions.
CPT Code 20550: This code is employed when injecting a tendon sheath, primarily for inflammatory conditions such as tenosynovitis or trigger finger.

How is Trigger Finger Injection Performed?

The procedure typically involves the following steps:

Assessment: The healthcare provider will assess the severity of the trigger finger and discuss the treatment options.
Preparation: The injection site will be cleaned and, in some cases, a local anesthetic may be applied to minimize discomfort.
Injection: A corticosteroid is injected into the tendon sheath, which can help reduce inflammation and pain.
Post-Procedure Care: Patients are often advised to rest their fingers and may receive guidance on hand exercises to improve mobility.

Benefits of Trigger Finger Injection

Trigger finger injections can provide significant relief. Here’s how:

Pain Relief: Corticosteroids help reduce inflammation and alleviate pain, enabling better finger movement.
Non-Surgical Option: For many patients, injections offer a non-invasive alternative to surgical intervention, making it a more attractive option for those concerned about recovery times.
Quick Procedure: The injection itself typically takes only a few minutes, allowing patients to return to their daily activities promptly.

What to Expect After the Injection

While many patients experience immediate relief after the injection, others may notice a gradual decrease in symptoms over several days. Common post-injection advice includes:

Activity Modification: Avoiding heavy lifting or repetitive hand movements for a short period to allow for healing.
Cold Compress: Applying ice can help reduce swelling and discomfort.
Follow-Up: Depending on individual cases, a follow-up appointment may be recommended to assess progress and decide on further treatment if necessary.

FAQs About Trigger Finger Injection CPT

How Long Does the Relief Last?

The duration of relief from trigger finger injections varies per individual. Many patients experience relief lasting weeks to months, while others might need multiple injections for optimal results.

Are There Risks Associated With the Injection?

Though considered generally safe, potential risks include infection, nerve damage, and temporary increase in pain. However, serious complications are rare.

What if the Injection Doesn't Work?

If the injection fails to provide adequate relief after one or two attempts, healthcare providers may discuss additional treatment options, including physical therapy or surgery.

Conclusion

Trigger finger injections, represented by CPT codes 20605 and 20550, can be an effective treatment option for many patients suffering from this painful condition. By understanding the procedure, benefits, and potential risks, individuals can make informed decisions about their treatment options. Always consult with a qualified healthcare provider to explore personalized treatment plans and to address any concerns.

References: For more detailed information about trigger finger and treatment options, consider reviewing literature from credible sources, such as the American Academy of Orthopaedic Surgeons (AAOS) and medical journals available through ScienceDirect.