CPT® Code 0102T

Extracorporeal shock wave performed by a physician, requiring anesthesia other than local, and involving the lateral humeral epicondyle

Extracorporeal shock wave therapy (ESWT), also known as orthotripsy, is a non-invasive treatment modality utilized in the management of various musculoskeletal conditions. This procedure involves the application of shock waves to targeted areas of the body, specifically to alleviate pain and enhance the healing process. The therapy is particularly beneficial for patients suffering from conditions such as plantar fasciitis, Achilles or patellar tendinitis, and tendinopathies affecting the shoulder and elbow joints. Additionally, ESWT is indicated for stress fractures, delayed healing in union or non-union fractures, and avascular necrosis of the femoral head. The underlying mechanism of ESWT involves the disruption of calcium deposits and scar tissue that can accumulate in inflamed areas, which may lead to restricted range of motion and increased pressure on surrounding tissues, including nerves and blood vessels. By utilizing shock waves, the therapy promotes the re-absorption of calcium, facilitates the breakdown of scar tissue, reduces inflammation, and ultimately supports tissue healing. For the specific procedure denoted by CPT® Code 0102T, the application of ESWT is performed on the lateral humeral epicondyle, a common site for elbow tendinopathies. This procedure necessitates the use of anesthesia other than local, such as regional or general anesthesia, to ensure patient comfort during the treatment. The process begins with the identification of the area of tenderness, which is marked while the patient remains awake and alert. Following the administration of the appropriate anesthesia, a highly viscous ultrasound gel is applied to the skin to enhance the transmission of shock waves. The treatment head, filled with water, is then firmly coupled to the skin, allowing for the effective delivery of shock waves to the targeted area.