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Extracorporeal shock wave therapy (ESWT) is a non-invasive medical procedure that utilizes low-energy sound waves to treat various musculoskeletal conditions. This technique is particularly effective for chronic heel pain, commonly associated with plantar fasciitis and heel spur syndrome, as well as other orthopedic issues. During the procedure, strong sound waves are directed precisely at the painful area, promoting healing and alleviating discomfort. The device employed in ESWT is akin to those used in the non-surgical treatment of kidney stones, highlighting its versatility in addressing different medical conditions. The treatment session typically lasts around 30 minutes and is conducted under local anesthesia to ensure patient comfort. The pressure waves generated during the therapy travel through fluid and soft tissue, exerting their therapeutic effects at specific sites where there is a change in impedance, such as the interface between bone and soft tissue. This targeted approach aims to stimulate healing processes and reduce pain in the affected areas.
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Extracorporeal shock wave therapy (ESWT) is indicated for the treatment of various conditions affecting the musculoskeletal system. The following are the primary indications for this procedure:
The procedure for extracorporeal shock wave therapy involves several key steps that ensure effective treatment of the targeted area. The following outlines the procedural steps:
Following extracorporeal shock wave therapy, patients may experience some mild discomfort or soreness in the treated area, which is generally temporary. It is important for patients to follow any specific post-procedure care instructions provided by their healthcare provider. This may include recommendations for rest, ice application, or over-the-counter pain relief as needed. Patients are typically advised to avoid strenuous activities for a short period to allow for optimal healing. The expected recovery time can vary depending on the individual and the specific condition being treated, but many patients report gradual improvement in pain and function in the weeks following the procedure.
| Short Descr | EXTRACORP SHOCK WV TX MS NOS | Medium Descr | EXTRACORPOREAL SHOCK WAVE MUSCSKEL NOS LOW ENRGY | Long Descr | Extracorporeal shock wave involving musculoskeletal system, not otherwise specified, low energy | Status Code | Carriers Price the Code | Global Days | XXX - Global Concept Does Not Apply | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 0 - No payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 9 - Concept does not apply. | Assistant Surgeon (80, 82) | 0 - 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 | Service Paid under Fee Schedule or Payment System other than OPPS | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P5D - Ambulatory procedures - lithotripsy | MUE | Not applicable/unspecified. | CCS Clinical Classification | 230 - Extracorporeal shock wave, other than urinary |
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| 2016-12-31 | Deleted | Code deleted. |
| 2011-01-01 | Changed | Short description changed. Guideline information changed. |
| 2006-01-01 | Changed | Code description changed. |
| 2002-01-01 | Added | First appearance in code book in 2002. |
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