Ultrasound for office injections

madgejones10

Networker
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Has anyone had experience using and coding for use of ultrasound in the office for hip and shoulder injections?
 

primrose1

Guru
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Our office just started doing this. Had our second block of patients this past week. We're also using it for knee injections. So far, so good!
 

LynnS.321

Networker
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Lynn

We just started using the Ultrasound also.
If it is a documented exam of a body part we use 76882.
If it is well documented that the ultrasound was used in giving the injection 76942.
Hope this helps.
:)
 

debwoods65

Networker
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Overland Park, KS
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My docs have been doing this since the fall. We bill using the 76942 code for guidance. If more than one joint is done at a time you are able to bill again using the 76 modifier. Be careful with this though as there is not a bilateral indicator for this code and so while guidance on a shoulder and a knee would be billable and paid, guidance for bilateral knees would not be billable. I disagree with the rule, but it is the rule nonetheless. We have not had any difficulty with reimbursement.
 
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