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An injection procedure for temporomandibular joint arthrography involves a series of steps designed to visualize the temporomandibular joint (TMJ) using imaging techniques. This procedure is essential for diagnosing various conditions affecting the TMJ, which is the joint connecting the jawbone to the skull. The process begins with the cleansing of the skin at the injection site to minimize the risk of infection. Following this, a local anesthetic is administered to ensure patient comfort during the procedure. A needle is then carefully inserted into the TMJ, allowing for the aspiration of any existing fluid within the joint space. This step is crucial as it prepares the joint for the introduction of a radiopaque substance, which is a contrast agent that enhances the visibility of the joint in imaging studies. The radiopaque substance is injected into the joint, and the joint is then exercised to facilitate even distribution of the contrast material. This distribution is vital for obtaining clear and accurate radiographic images, which are essential for further evaluation and diagnosis. Once the contrast has been adequately distributed, radiographic images are obtained, which may be reported separately for comprehensive analysis of the joint's condition.
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The injection procedure for temporomandibular joint arthrography is indicated for various clinical scenarios where detailed imaging of the TMJ is necessary. The following conditions may warrant this procedure:
The injection procedure for temporomandibular joint arthrography consists of several critical steps that ensure the successful visualization of the joint. The first step involves the cleansing of the skin over the injection site, which is essential for preventing infection. Following this, a local anesthetic is injected to numb the area, providing comfort to the patient during the procedure. Once the area is adequately anesthetized, a needle is carefully inserted into the temporomandibular joint. This insertion may involve aspiration of any synovial fluid present in the joint space, which is an important preparatory step. After aspiration, a radiopaque substance is injected into the joint. This contrast agent is crucial for enhancing the visibility of the joint during imaging. To ensure that the radiopaque substance is evenly distributed throughout the joint, the joint is exercised, which may involve moving the jaw in various directions. This exercise helps in achieving optimal distribution of the contrast material. Finally, once the contrast has been adequately distributed, radiographic images are obtained. These images are essential for diagnosing any abnormalities or conditions affecting the temporomandibular joint and may be reported separately for further analysis.
After the injection procedure for temporomandibular joint arthrography, patients may be monitored for a short period to ensure there are no immediate adverse reactions to the anesthetic or the contrast material. It is common for patients to experience some mild discomfort or swelling at the injection site, which typically resolves within a few hours. Patients are usually advised to avoid strenuous activities or excessive jaw movements for a short period following the procedure. Additionally, they may be instructed to follow up with their healthcare provider to discuss the results of the radiographic images obtained during the procedure. Any significant findings will be addressed, and further management or treatment options will be discussed based on the results of the imaging studies.
| Short Descr | INJECTION JAW JOINT X-RAY | Medium Descr | INJECTION TEMPOROMANDIBULAR JOINT ARTHROGRAPHY | Long Descr | Injection procedure for temporomandibular joint arthrography | Status Code | Active Code | Global Days | 000 - Endoscopic or Minor Procedure | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 1 - 150% payment adjustment for bilateral procedures applies. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 1 - Statutory payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Items and Services Packaged into APC Rates | ASC Payment Indicator | Packaged service/item; no separate payment made. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | I1F - Standard imaging - other | MUE | 1 | CCS Clinical Classification | 226 - Other diagnostic radiology and related techniques |
This is a primary code that can be used with these additional add-on codes.
| 77002 | CPT Add On MPFS Status: Active Code APC N ASC N1 Physician Quality Reporting CPT Assistant Article Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure) |
| 50 | Bilateral procedure: unless otherwise identified in the listings, bilateral procedures that are performed at the same session, should be identified by adding modifier 50 to the appropriate 5 digit code. note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | LT | Left side (used to identify procedures performed on the left side of the body) | RT | Right side (used to identify procedures performed on the right side of the body) |
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| 2011-01-01 | Changed | Short description changed. |
| Pre-1990 | Added | Code added. |
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