If an injection is administered into the sacroiliac (SI) joint without fluoroscopic imaging guidance, would it be appropriate to report code 20610 or code 27096?
From a CPT coding perspective, if an injection is administered into the SI joint without fluoroscopic imaging guidance, then it would be appropriate to report code 20610, Arthrocentesis, aspiration and/or injection; major joint or bursa (eg, shoulder, hip, knee joint, subacromial bursa), for the injection administered into the SI joint without fluoroscopic imaging guidance. Doing it blindly is injecting the L5-S1 facet joint.
The first parenthetical under 27096 clearly makes this point, ie, 27096 is to be used only with imaging confirmation of intra-articular needle positioning.
It would not be appropriate to report code 27096, Injection procedure for sacroiliac joint, arthrography and/or anesthetic/steroid, as fluoroscopic guidance is crucial to identify the optimal site for access to the joint. Code 27096 should only be reported when imaging confirmation of intra-articular needle position has been performed
I once read that a facet joint is considered intermediate. I'm still looking for this information
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