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CPT code for Cortisone Injection?

  1. Default CPT code for Cortisone Injection?
    Clearnace Sale
    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

  2. #2
    Default
    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
    Chelle Johnson, CPC CPMA CEMC CPCO CPPM AAPC Fellow
    Billing/Coding/Credentialing/Auditing Coordinator

    20+ years experience in Medical Billing and Auditing

  3. Default
    Thank you so much for your response!

  4. #4
    Location
    Salt Lake North
    Posts
    807
    Default 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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