In Coding
Jul 25th, 2016
During either aspiration or injection, imaging guidance may be employed to ensure accurate needle placement. In 2015, the AMA revised previous joint (or bursa) aspiration/injection codes to specify “without ultrasonic guidance,” while adding codes to describe the same procedures with ultrasonic (US) guidance (revised text is underlined). 20600 Arthrocentesis, aspiration and/or injection, small join...
Overlooking minor changes can be a costly mistake. Within the Surgery section of CPT®, the new year brings just two new Integumentary codes, and deletes a single Musculoskeletal code. Minor changes such as these are easy to overlook, but costly to ignore. Integumentary Updates Fiducial markers serve as radiologic landmarks. Using imaging guidance, each marker ...
In CMS
Mar 7th, 2016
CPT® 20610 Arthrocentisis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidance describes aspiration (removal of fluid) from, or injection into, a major joint (defined as a shoulder, hip, knee, or subacromial bursa)—or both aspiration and injection of the same joint. The procedure may be performed for diagnostic ...
In Coding
Nov 24th, 2015
Coding for paravertebral facet joint destruction is based on destruction of the sensory innervation to each facet joint, not per facet joint nerve. CPT Assistant (Feb. 2015) says: Although two nerves innervate each facet joint, the number of nerves treated does not affect code selection. This is reflected in the term “nerve(s)” which is included ...
Feb 1st, 2015
CPT® 2015 requires you to differentiate “with” or “without” ultrasonic guidance. By G.J. Verhovshek, MA, CPC Among the many hundreds of changes to the 2015 CPT® codebook are new and revised codes to report aspiration or injection of small, medium, and large joints. Combination codes now describe such aspiration/injection with ultrasonic (US) guidance, but allow ...