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Note that 27096 is a unilateral procedure. For bilateral injection, you may append modifier 50. For example, if a 38-year-old male undergoes bilateral SI joint injection with fluoroscopic guidance, report 27096-50. Do not report 27096 for SI joint injection with ultrasonic guidance, or if done without radiological guidance.
20611 Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); with ultrasound guidance, with permanent recording and reporting. If the provider performs joint aspiration/injection with US guidance, select 20604, 20606, or 20611 (depending on the joint targeted).
when coding SI joint injections without guidance, the book instructs you to use 20552 & 20553. I am not understanding how the SI JOINT can be coded with a code which clearly states trigger point "muscle" . The SI is a joint and not a muscle. I have been told by employer that the correct coding is 20610.
Currently, the facet joint injections procedural codes are located in the nervous system section of the CPT® manual. The six codes are: 64490 Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic, single level
Hello, We have this discussion going on in my office. CPT 27096. CPT 20610, and CPT 77002-26 are being billed by our pain providers (medicare). Some feel that CPT 20610 should have XU and CPT 77002-... [ Read More ]
20611 Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); with ultrasound guidance, with permanent recording and reporting. If the provider performs joint aspiration/injection with US guidance, select 20604, 20606, or 20611 (depending on the joint targeted).
If it is found that less than 3 separate muscles were injected then the correct code selection is 20552 If it is determined that the trigger point injection was in the same anatomical area as the SI joint injection then the trigger point would be considered bundled. And it would be an time to review NCCI edits to consider for future blocks.
Example 2: Under fluoroscopic guidance, a physician performs bilateral facet joint injections at L3-4 and L4-5. Report code 64493-50 for the bilateral injection at L3-4 and 64494 twice for the bilateral injections at L4-5. Understand the Nuances of Imaging Guidance. Because of the diagnostic nature of facet blocks, precise localization is ...
Can someone tell me which cpt code I would use for bilateral si joint injection? I believe it would be 20610. But would you charge this as being done twice since it is bilateral? Thanks!!
you have to use the trigger point injection 20552 code for SI joint injection. If you look at the coding instructions for 27096 it goes on to state: For the injection procedure without CT or fluoroscopic imaging guidance, see 20552.