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Thread: ? appropriate CPT codes

  1. #1
    Join Date
    Apr 2007

    Default ? appropriate CPT codes

    AAPC: Back to School
    Procedure: Fluoroscopic guided injection of the left acromioclavicular
    joint, 4/5/2011.

    Contrast: 0.1 cc of Omnipaque 300.

    Clinical History: AC joint derangement.

    Written informed consent was obtained prior to the procedure. A 25-gauge
    needle was advanced tothe left acromioclavicular joint utilizing local anesthesia, sterile
    technique andfluoroscopic guidance. A small amount of iodinated contrast was injected to
    confirm the needleplacement. Subsequently, 0.25 cc of 0.25% preservative free bupivacaine and 0.25cc (10mg) ofKenalog steroid were injected. There were no immediate complications.

    The patient's preprocedural pain level was 5 /10, and immediately
    postprocedure it was 5 /10.

    Total fluoroscopy time was 19 seconds.

    Impression: Injection of the left acromioclavicular joint under fluoroscopic guidance,
    without complication.

  2. #2


    20610 Lt
    77002 TC

    Arthrocentesis, aspiration and/or injection; major joint or bursa (eg, shoulder, hip, knee joint, subacromial bursa)

  3. #3
    Join Date
    Apr 2007
    Columbus GA


    We also charge for the sterile supplies with a 99070. You may look into this also.

  4. #4


    Since it is acromioclavicular wouldn't the code be 20605 per CPT?

  5. #5
    Join Date
    Apr 2007


    Quote Originally Posted by denarh40 View Post
    Since it is acromioclavicular wouldn't the code be 20605 per CPT?
    I agree with the above reply. You would code 20605 since it was the AC joint and not the actual shoulder..

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