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Injection to 1st,2nd,3rd metatarsal cuneiform joints

C

CCANTER

Networker
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94
Location
Dalton, NE
The provider performed an ultrasound guided injection to 1st, 2nd and 3rd metatarsal cuneiform joints. The provider wants to use 20606 times 3.
I think it is the correct CPT code 20606 however should it only be billed out 1 instead of 3?

thanks
 
Another thought

Hello. Based on a CPT Assistant from August 2017, I'm thinking a TMT injection would code out as does a CMC injection, 20600 (20604 w/ ultrasound)




CPT Assistant, August 2017 Page: 10 Category: Frequently Asked Questions

Surgery: Musculoskeletal System

Question:
When a physician performs a right first carpometacarpal joint injection without ultrasound guidance, is it appropriate to report code 20605 for an intermediate joint injection (eg, wrist), or is it appropriate to report code 20600 for a small joint injection?

Answer:
The carpometacarpal joint is considered a small joint, therefore, it is appropriate to report code 20600, Arthrocentesis, aspiration and/or injection, small joint or bursa (eg, fingers, toes); without ultrasound guidance, for this procedure.


Respectfully,
 
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