Arthrogram versus Fluro Needle Guidance Help

naneralls

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My physicians are debating whether coding for an arthrogram injection is correct or not or whether the coding should be large joint with fluro guidance.
The doctors start by injecting 1/2 cc of contrast, once confirmed in the joint space (shoulder, hip, etc), they infiltrate with between 10-12cc of lidocaine, celestone, etc and then do an xray read.

For a shoulder would it be appropriate to code 23350, 73040 with the medications or do you have to code 20610, 77002 and the medications??

Thank-you in advance for your replies and any explanations I may pass on to them.
Nanette
 
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