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? appropriate CPT codes

  1. #1
    Default ? appropriate CPT codes
    Exam Training Packages
    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
    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. Default
    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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