Wiki Sacroiliac joint injection WITH ULTRASOUND GUIDANCE

[rlewis3504]

How would you post a sacroiliac joint injection WITH ULTRASOUND GUIDANCE. This was a joint injection using ultrasound guidance, and is documented.

Our physician does ultrasound guided injections in an office setting.

Comments would be greatly appreciated.

 

[viksash]

27096 - Injection procedure for sacroiliac joint, anesthetic/steroid, with image guidance (fluoroscopy or CT) including arthrography when performed

 

[viksash]

or 20611 if just with ultrasound, without arthrography

 

[shecodes]

Per CPT Guidelines -

If CT or fluoroscopy is not performed, use 20552

You would code 76942 along with it.

 

[viksash]

cpt 20552 is incorrect because its a trigger points injection which means muscles injections not joint

 

[shecodes]

Guess you should let the AMA know so they can correct the CPT book then...

 

[avon4117]

cpt 20552 is incorrect because its a trigger points injection which means muscles injections not joint

right i bill for SI joint injections everyday. Correct cpt is 27096 and the guidance is included. here is a cms guideline..

https://downloads.cms.gov/medicare-coverage-database/lcd_attachments/34443_8/L34443_MS009_BCG.pdf

 

[shecodes]

27096 is for use with CT or fluoroscopy, not ultrasound

https://www.aapc.com/blog/26649-straight-up-coding-for-sacroiliac-joint-injections/

Do not report 27096 for SI joint injection with ultrasonic guidance, or if done without radiological guidance. For these circumstances, CPT® directs us to report 20552 Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s), along with 76942 Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation for the ultrasonic guidance (when provided). Do not report 20552 with modifier 50, even if bilateral injections are performed.

 

[rlewis3504]

SI joint injections using u/s guidance

Thank you for your assistance!