AMA CPT® Assistant - 2015 Issue 7 (July)

Surgery: Musculoskeletal System (Q&A) (July 2015)

July 2015 page 10 Surgery: Musculoskeletal System Question: Do the arthrocentesis joint codes that include ultrasound guidance (20604, 20606, and 20611) require not only an ultrasound imaging study, but also the documentation of that study similar to ultrasonic guidance add-on code 76937, Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)? Answer: Yes, codes 20604, Arthrocentesis, aspiration and/or injection, small joint or bursa (eg, fingers, toes); with ultrasound guidance...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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