ortho1991
Guru
Hi,
We have been going back and forth with this procedure.
This procedure is done in our office in our x-ray suite we own the equipment, here is the note that the phyician dictates.
Left intra-articular hip injection wth dye contrast.
Patient brought into the radiology suite.
Patient was placed in the supine positon on the flouroscopy table. The area over the LT hip laterality of the injection was uncovered and draped. Using flouro, a pont over the femoral neck was identified as the target and marked. The skin over the injection site was cleaned------ After numbing the skin with topical ethyl chloride ------lidocaine was then used to infiltrate and anesthetize the skin and subcutaneou tissue along the path of the injection.
A 22 gauge needle was then advanced through the anesthetized skin and subcutaneous tissue using intermittent fluoro guidance until reaching the bone at the trget region. After negative aspiration of air, CSF, heme, or fluid, 1cc of Omnipaque 180 dye was injected highlighting the joint space. An imape copy was then printed for documentation and placed in the patien's chart. Again after negative aspiration for air------- a solution of----
lidocaine and 2 cc of 40 mg Depo-Medrol was then injected into the trget. The 22-gauge needle was the removed while being flushed with lidocaine.
Should this be coded with 20610,77002, or is this the correct way to code 27093,73525, J1040,Q9965.
How do we know when it's just 20610, 77002
Please, please any advice on this will be appreicated.
Thank you,
We have been going back and forth with this procedure.
This procedure is done in our office in our x-ray suite we own the equipment, here is the note that the phyician dictates.
Left intra-articular hip injection wth dye contrast.
Patient brought into the radiology suite.
Patient was placed in the supine positon on the flouroscopy table. The area over the LT hip laterality of the injection was uncovered and draped. Using flouro, a pont over the femoral neck was identified as the target and marked. The skin over the injection site was cleaned------ After numbing the skin with topical ethyl chloride ------lidocaine was then used to infiltrate and anesthetize the skin and subcutaneou tissue along the path of the injection.
A 22 gauge needle was then advanced through the anesthetized skin and subcutaneous tissue using intermittent fluoro guidance until reaching the bone at the trget region. After negative aspiration of air, CSF, heme, or fluid, 1cc of Omnipaque 180 dye was injected highlighting the joint space. An imape copy was then printed for documentation and placed in the patien's chart. Again after negative aspiration for air------- a solution of----
lidocaine and 2 cc of 40 mg Depo-Medrol was then injected into the trget. The 22-gauge needle was the removed while being flushed with lidocaine.
Should this be coded with 20610,77002, or is this the correct way to code 27093,73525, J1040,Q9965.
How do we know when it's just 20610, 77002
Please, please any advice on this will be appreicated.
Thank you,