Results 1 to 5 of 5

Determining what joint

  1. #1
    Question Determining what joint
    Medical Coding Books
    what is considered to be a small joint, and what is an intermediate joint? We did an MCP joint injection. medium joint?

  2. #2
    Location
    Greater Pittsburgh
    Posts
    390
    Default
    20600 is for hand, carpal, metacarpal and phalanges. (small joint or bursa (finger, toes).
    20605 is for wrist, elbow, ankle, olecranon bursa. (intermediate joint or bursa, etc...
    20610 is for shoulder, hip, knee joint and subacromial bursa. (major joint, bursa, etc....
    jdemar, CPC, CMA

  3. #3
    Default
    I had thought the only small joints were the IP & DIP joints

  4. #4
    Location
    Greater Pittsburgh
    Posts
    390
    Default
    info from 2009 Decicion Health/ www.ortho-decisions.com (Orthopedic Coder's Pink Sheet)......support is relating back to the DX digit ....since intermediate injec code 20605 lists wrist............ and the carpals and metacarpus are listed separately in the same grouping as the hand and fingers, that appears t support that a carpaometacarpal injec is 1. separate from the wrist joint and 2. considered a small joint injection 20600.
    DX 719.43
    DX 714.44....anatomical area........is the fifth digit

    have a HAPPY THANKSGIVING....I'll be back Monday....hope this helps.
    jdemar, CPC, CMA

  5. #5
    Default
    you don't put a modifier on carpal bones though, on the IP & DIP joints. this could be another indicator. Not to say you are incorrect, but looking at that link, it just tells me that the carpal bones are a part of the hand, it doesn't indicate to me what size of joint it is.

Similar Threads

  1. Replies: 0
    Last Post: 04-13-2015, 09:54 AM
  2. Determining E/M Level
    By dyoungberg in forum E/M
    Replies: 1
    Last Post: 10-24-2013, 03:15 PM
  3. Determining COB
    By MARCIE CPC CPMA CRC in forum Medical Coding General Discussion
    Replies: 3
    Last Post: 01-12-2012, 12:30 PM
  4. Mri heel..joint or non-joint coding
    By 88fingers54 in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 05-19-2011, 08:53 PM
  5. Determining # of dx in MDM
    By BCJ927 in forum E/M
    Replies: 6
    Last Post: 12-31-2009, 07:20 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.