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Wiki arthrographyAND medicine injection

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chenson384

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Mayfield, KY
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Physician takes a patient to outpatient surgery for hip injection with fluoroscopic guidance. Expecting to bill 20610 (large joint injection) with 77002 (fluoroscopic guidance). The physician decides to inject contrast to be sure he is in the joint and a "nice arthrogram image is saved". (27095).

CCI edits says 27095 and 20610 can only be billed with modifier to show distinctly different. This is same compartment no additional needle insertion--so I am thinking inclusive?

If I can only bill one-- should I do 27095 (the greater procedure he did) or 20610 (what he had planned to do all along)?
 
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