CPT code for Cortisone Injection?

veloso

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Happy New Year to All!

Please see Op Report below and advise what CPT code will I use 'cortisone injection' given for Gout, Thanks in advance!


Dx.Gout RTfoot
*
*
Op Report
Pt seen and evaluated
Aseptic prep, cortisone injection consisting of 1cc 1% lidocaine plain, 1cc dex 4mg and 1cc 0/5% marcaine plain injected into area of maximum tenderness. Pt tolerated procedure well.
Rx Indocin
 

Chelle-Lynn

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The records note the foot but does not expand from there.

If the injection was in the joint, the code selected will depend on if the injections were entered into the toes or for example the ankle.

20600 for small joint or bursa
20605 for intermediate joint or bursa
20610 for major joint or bursa
 

Orthocoderpgu

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Local Chapter Officer
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The medical record needs to be amended

With the documentation that you have, there is no way to tell which of the three codes is correct. And your coding needs to be based on DOCUMENTATION. And this documentation does not support any of the codes.
 
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