Wiki ? appropriate CPT codes

[Kimberley]

Procedure: Fluoroscopic guided injection of the left acromioclavicular
joint, 4/5/2011.

Contrast: 0.1 cc of Omnipaque 300.

Clinical History: AC joint derangement.

Written informed consent was obtained prior to the procedure. A 25-gauge
needle was advanced tothe left acromioclavicular joint utilizing local anesthesia, sterile
technique andfluoroscopic guidance. A small amount of iodinated contrast was injected to
confirm the needleplacement. Subsequently, 0.25 cc of 0.25% preservative free bupivacaine and 0.25cc (10mg) ofKenalog steroid were injected. There were no immediate complications.

The patient's preprocedural pain level was 5 /10, and immediately
postprocedure it was 5 /10.

Total fluoroscopy time was 19 seconds.

Impression: Injection of the left acromioclavicular joint under fluoroscopic guidance,
without complication.

 

[ASC CODER]

20610 Lt
77002 TC

Arthrocentesis, aspiration and/or injection; major joint or bursa (eg, shoulder, hip, knee joint, subacromial bursa)

 

[jgf-CPC]

We also charge for the sterile supplies with a 99070. You may look into this also.

 

[denarh40]

Since it is acromioclavicular wouldn't the code be 20605 per CPT?

 

[AimeeA10]

Since it is acromioclavicular wouldn't the code be 20605 per CPT?

I agree with the above reply. You would code 20605 since it was the AC joint and not the actual shoulder..